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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (04): 427-429. doi: 10.3877/cma.j.issn.1672-6448.2024.04.020

• Original Article • Previous Articles    

Analysis of curative effect and complications of endoscopic subcutaneous glandectomy and axillary lymph node dissection combined with prosthesis implantation in the treatment of breast cancer

Leping Kang1,(), Lin Zhang2, Zhou Wan3, Yong Gou4   

  1. 1. Department of Thyroid and Breast Surgery, Ziyang Central Hospital, Ziyang Sichuan Province 641300, China
    2. Department of Pathology, Ziyang Central Hospital, Ziyang Sichuan Province 641300, China
    3. Department of Pathology, Zigong First People’s Hospital, Zigong Sichuan Province 643000, China
    4. Pengzhou Hospital of Traditional Chinese Medicine,General surgery department, Pengzhou, Sichuan 611930, China
  • Received:2024-02-23 Online:2024-08-26 Published:2024-05-22
  • Contact: Leping Kang
  • Supported by:
    2020 Sichuan Youth Innovative Scientific Research Project(Q20038)

Abstract:

Objective

To explore the efficacy and complications of endoscopic subcutaneous glandectomy and axillary lymph node dissection combined with prosthesis implantation in the treatment of breast cancer.

Methods

The clinical data of 79 patients with breast cancer treated by surgery from February 2021 to February 2023 were retrospectively analyzed, and divided into observation group (n=42 cases, endoscopic subcutaneous glandectomy, axillary lymph node dissection and prosthesis implantation) and control group (n=37 cases, traditional modified radical surgery) according to different operation methods. SPSS 22.0 software was used for statistical analysis. The overall good and good rate and complication rate were tested by χ2 test. The treatment effect was tested by Rank Sum test. Perioperative relevant indexes were expressed as () and independent sample t test was used. P < 0.05 was considered to be statistically significant.

Results

The operation time of observation group was longer than that of control group (P < 0.05), but the length of hospital stay, extubation time and blood loss were less than that of control group (P < 0.05). After 6 months of treatment, the total good and good rate of observation group was higher than that of control group (P < 0.05). The total incidence of postoperative complications in observation group (4.8%) was lower than that in control group (21.6%) (P < 0.05).

Conclusion

Endoscopic subcutaneous glandectomy and axillary lymph node dissection combined with prosthesis implantation are effective in the treatment of breast cancer, with faster recovery, less trauma and higher safety.

Key words: Breast Neoplasms, Endoscopic Subcutaneous Gland Resection, Lymph Node Excision, Prosthesis Implantation

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