Immediate Liposuction Could Shorten the Time for Endoscopic Axillary Lymphadenectomy in Breast Cancer Patients

Overview

Journal World J Surg Oncol

Publisher Biomed Central

Specialties General Surgery
Oncology

Date 2017 Feb 1

PMID 28137289

Citations 4

Authors

Fujun Shi

Zonghai Huang

Jinlong Yu

Pusheng Zhang

Jianwen Deng

Linhan Zou

Cheng Zhang

Yunfeng Luo

Affiliations

Soon will be listed here.

Abstract

Background: Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND.

Methods: Fifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction method (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). The operation time, cosmetic result, drainage amount, and hospitalization time of the two groups were compared.

Results: The median EALND operation time of TLM group and ILM group were 68 and 46 min, respectively, the difference was significant (P < 0.05); the median cosmetic results of the two groups were 6.6 and 6.4, respectively; the median drainage amount of the two groups were 366 and 385 ml, respectively; the hospitalization time of the two groups were 15 and 16 days, respectively. For the last three measures, no significant difference was confirmed (P > 0.05).

Conclusions: Our work suggests immediate liposuction could shorten the endoscopic axillary lymphadenectomy process, and this method would not compromise the operation results. However, due to the limitations of the research, more work needs to be done to prove the availability and feasibility of immediate liposuction.

Citing Articles

Reverse-sequence endoscopic nipple-sparing mastectomy with immediate implant-based breast reconstruction: an improvement of conventional minimal access breast surgery.

Chung K, Xie Y, Liang F, Qiu M, Yang H, Zhang Q Front Oncol. 2024; 14:1366877.

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Comparison of single-pore non-liposuction near-infrared laparoscopy with conventional open surgery for axillary sentinel lymph node biopsy in patients with early breast cancer: a single-center, small-sample retrospective study.

Yao C, Liu C, Xian J World J Surg Oncol. 2023; 21(1):66.

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Single-incision surgery for gynecomastia using TriPort: A case report.

Liu J, Han Y, Cheng K, Wang X, Guo F, Yang Z Exp Ther Med. 2018; 16(2):797-801.

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[Application of 3D visualization technique in breast cancer surgery with immediate breast reconstruction using laparoscopically harvested pedicled latissimus dorsi muscle flap].

Zhang P, Wang L, Luo Y, Shi F, He L, Zeng C Nan Fang Yi Ke Da Xue Xue Bao. 2017; 37(8):1131-1135.

PMID: 28801298 PMC: 6765736.

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