Endoscopic axillary surgery in breast cancer

Kuehn, Thorsten; Santjohanser, Claudia; Grab, Dieter; Klauss, Wolfgang; Koretz, K.; Kreienberg, R.

doi:10.1046/j.1365-2168.2001.01751.x

Cited by 22 publications

(7 citation statements)

References 19 publications

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“…The interval between the surgical procedure and the clinical assessment of long-term morbidity was 31.4 and 56.4 months in the SNLB and ALND group, respectively. Muscular strength was measured as angle of abduction against a resistance of 3 kg as described elsewhere [20]. Arm circumferences y 1 , y 2 .…”

Section: Follow-up and Assessment Of Shoulder-arm Morbiditymentioning

confidence: 99%

“…The volume of the hand was measured by the volumetric method of Archimedes and added to the previously calculated volume of the arm. The combination of the water displacement method and the geometrically determined volume measurement was shown to be a reliable tool to asses arm volume [20][21][22]. In order to assess the subjective perception of shoulder-arm morbidity and the resulting impairment in the daily life, a questionnaire was designed similar to a previously described concept [20] and handed-out to the patients at the most recent follow-up examination.…”

Section: Follow-up and Assessment Of Shoulder-arm Morbiditymentioning

confidence: 99%

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Long-term morbidity of patients with early breast cancer after sentinel lymph node biopsy compared to axillary lymph node dissection

et al. 2006

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Background and Objectives: Sentinel lymph node biopsy (SLNB) is widely accepted as an excellent method in the management of early breast cancer in patients with clinically negative axillary lymph nodes. Since SLNB requires less traumatic surgery to the axilla than axillary lymph node dissection (ALND), it was assumed to result in reduced shoulder/arm morbidity. However, data on long-term morbidity after SNLB are sparse. The present study was set up to compare long-term arm/shoulder morbidity as well as oncological outcome after SLNB versus ALND in patients with early breast cancer. Methods: Oncological outcome, objective shoulder/arm morbidity, and subjective complaints after SLNB or ALND for T1 breast cancer were assessed after a minimum follow-up of 20 months. Results: One hundred thirty four patients were included in the study. Thirty-one patients underwent SNLB only, 103 patients had SLNB followed by ALND or ALND only. Loss of strength and hypaesthesia were less frequent after SLNB. No lymph oedema occurred after SNLB without adjuvant radiotherapy. Subjective complaints concerning pain, hypaesthesia, and paresthesia were more common in the ALND group. No axillary recurrence developed in either group. Conclusions: Isolated SLNB in node-negative pT1 breast cancer patients is a highly efficient tool to reduce postoperative long-term morbidity without compromising the local control of the disease. The reported ameliorations should favour SLNB as staging and treatment modality in patients suffering from early breast cancer.

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Section: Follow-up and Assessment Of Shoulder-arm Morbiditymentioning

confidence: 99%

Section: Follow-up and Assessment Of Shoulder-arm Morbiditymentioning

confidence: 99%

Long-term morbidity of patients with early breast cancer after sentinel lymph node biopsy compared to axillary lymph node dissection

et al. 2006

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“…They include drainage of the operative wound [6], external compression dressing [9], diathermy performed during surgery, ultrasound, argon, laser, harmonic scalpel [10], endoscopic procedures [11, 12], various techniques of axillary space closure [3, 13], fibrin glue [14–20], sclerotherapy using tetracyclines [21] and tranexamic acid application [7, 9]. However, no standard resulting in effective diminution of SF incidence following axillary dissection has yet been established.…”

Section: Introductionmentioning

confidence: 99%

Analysis of selected factors influencing seroma formation in breast cancer patients undergoing mastectomy

Zieliński¹,

Jaworski²,

Irga³

et al. 2013

aoms

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IntroductionThe aim of the work was to analyze the impact of selected factors on the incidence of seroma formation in breast cancer patients undergoing mastectomy.Material and methodsOne hundred and fifty breast cancer patients were prospectively enrolled in the study. All patients had mastectomy performed using the same operative technique with electrocoagulation. The amount of seroma formed after surgery and its duration were correlated with selected demographic, clinical and pathological parameters.ResultsThe cumulative total seroma volume collected by the end of treatment was higher and the overall time of seroma treatment was longer in patients over the age of 60 years (p = 0.001 and p = 0.001 respectively). Duration of seroma was significantly longer in obese patients (p = 0.036). The cumulative total seroma volume collected by the end of treatment was higher and the overall time of seroma treatment was longer in patients who had over 130 ml of lymph drained during the first 24 postoperative hours (p < 0.001 and p = 0.001 respectively). Additionally, longer duration of seroma was observed in patients with pathological stage I and II according to TNM-UICC (p = 0.042) and in patients with ≥ 1200 g weight resected of mammary gland (p = 0.05).ConclusionsAge and obesity are important prognostic factors influencing seroma formation in breast cancer patients undergoing mastectomy. The amount of lymph formed during first postoperative day may have predictive value in assessing cumulative total seroma volume collected during treatment and its overall duration.

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“…The numbers 9 It is obvious that the operation took more time in the earlier stage of it use. As our experience grew, however, operative time shortened gradually to less than 1 hour after about 10 operations.…”

Section: Discussionmentioning

confidence: 99%

A Standardized Surgical Technique for Mastoscopic Axillary Lymph Node Dissection

Luo

Zhou²,

Hua³

et al. 2005

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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To standardize the surgical technique for mastoscopic axillary lymph node dissection (MALND). Mastoscopic lymph node dissection was performed consistently by a group of surgeons in 316 cases of breast cancer. The mean operation time was 46.7 minutes with minimal bleeding, and the median number of lymph nodes dissected at each operation was 17.0. There were no operative complications in any case, nor did trocar implantation or tumor diffusion occurring during the mean follow-up time of 15.1 months. MALND is distinctive and practicable in operative anatomy as well as safe and convenient. The location of critical anatomy such as the intercostobrachial nerve, lateral thoracic artery, medial thoracic nerve, and thoracoepigastric vein should be clearly identified to avoid damage to them, so that is the great advantage of MALND.

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Endoscopic axillary surgery in breast cancer

Abstract: Despite excellent visualization of anatomical landmarks and improved long-term morbidity, endoscopic lymph node dissection cannot be regarded as a suitable technique for routine axillary management in breast cancer because of long operating times.

Cited by 22 publications

References 19 publications

Long-term morbidity of patients with early breast cancer after sentinel lymph node biopsy compared to axillary lymph node dissection

Long-term morbidity of patients with early breast cancer after sentinel lymph node biopsy compared to axillary lymph node dissection

Analysis of selected factors influencing seroma formation in breast cancer patients undergoing mastectomy

A Standardized Surgical Technique for Mastoscopic Axillary Lymph Node Dissection

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