Direct transpectoral approach for level III axillary lymph node clearance

Abstract

surgical thrombectomy and repair may be necessary. In such cases, the placement of the fistulotomy requires careful consideration. The site, length and orientation of the incision in relation to the anatomy of the offending lesion and the amount of redundancy in the outflow vein determine the options available for revision. These techniques may be more expeditious than traditional patch repair, particularly where vein suitable for patching is not available without performing additional dissection.

Dissection of Level III Axillary Lymph Nodes in Breast Cancer

“…Hadjiminas et al introduced a method conducive to safe cleaning of level III axillary lymph nodes. 36 Access to level III is achieved through a muscle splitting transverse incision on the pectoralis major, centered on the point where the axillary vein crosses the first rib. This is located 5 cm lateral and 1 cm superior to the suprasternal notch.…”