摘要
目的比较乳腔镜腋窝淋巴结清扫术与常规腋窝淋巴结清扫术的优缺点。方法将2008年12月～2010年6月48例腔镜腋窝淋巴结清扫术与50例传统腋窝淋巴结清扫术的临床资料进行回顾性分析,比较2组手术时间、术中出血量、清扫淋巴结数目、住院时间、住院费用以及术后并发症的发生率。结果腔镜组手术时间(222.8±19.4)min显著长于常规组(140.1±13.9)min(t=24.333,P=0.000),腔镜组住院费用(18587.9±2055.8)元显著高于常规组(14203.8±1396.5)元(t=12.393,P=0.000),但腔镜组术中出血量(36.5±8.5)ml显著少于常规组(58.9±7.0)ml(t=-14.265,P=0.000),2组淋巴结清扫数目无统计学差异[(16.7±2.6)枚vs(15.9±4.8)枚,t=1.035,P=0.303]。2组随访未发现复发及远处转移。结论乳腔镜腋窝淋巴结清扫术具有创伤小、并发症少、瘢痕小等优点,值得推广,但腔镜操作缺乏触感,灵活性不足,延长了手术时间,增加了住院费用。
Objective To compare the advantage and limits of mastoscopic axillary lymph node dissection（MALND）and conventional axillary lymph node dissection（CALND）.Methods Retrospectively analyzed the clinical data of 98 patients with breast cancer,who underwent MALND（48 cases）or CALND（50 cases）from December 2008 to June 2010.We compared operation time,intraoperative blood loss,number of dissected axillary lymph node,hospital stay,total hospital cost,and the rate of postoperative complication between the two groups.Results The MALND group showed significantly longer operation time,higher hospital cost but less intraoperative blood loss than the CALND group [（222.8±19.4）min vs（140.1±13.9）min,t=24.333,P=0.000;（18587.9±2055.8）RMB vs（14203.8±1396.5）RMB,t=12.393,P=0.000;（36.5±8.5）ml vs（58.9±7.0）ml,t=-14.265,P=0.000].No significant difference was noticed between the two groups in the dissected lymph nodes [16.7±2.6 vs 15.9±4.8;t=1.035,P=0.303].No recurrence nor distant metastasis were found during follow-up in the two groups.Conclusions MALND has advantages of mini-invasion,few complications and no scar left.It is deserved to be applied in clinical practice.However,being lack of sense of tactility and flexibility,the mastoscopic axillary lymph node dissection has a longer operation time and more cost.The surgical technique is to be further improved.
出处
《中国微创外科杂志》
CSCD
2010年第12期1063-1065,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
乳腺癌
乳腔镜
腋窝淋巴结清扫术
Breast cancer
Mastoscopy
Axillary lymph node dissection
