Chirurgia (Bucur). 2021 Mar-Apr;116(2):162-169. doi: 10.21614/chirurgia.116.2.162.
Axillary lymph node dissection (ALND) was and still is an important part of breast cancer treatment despite the fact the sentinel lymph node biopsy (SLNB) has revolutionized breast cancer surgery. SLNB provides the same prognostic information as ALND but with significantly less morbidity. The results of numerous trials conducted over the past 20 years have crowned SLNB as the gold standard for early breast cancer treatment. ALND represents a very standardized intervention with precise landmarks and boundaries. An accurate technique and a good knowledge of axillaâÃÂàanatomy are mandatory for a correct and complete ALND. But even with a meticulous and careful technique of dissection, a comprehensive ALND may be associated with important morbidity. Nowadays ALND indications are continuously evolving, but the procedure has still an indisputable place in breast cancer treatment.
腋窝淋巴结清扫术 (ALND) 曾经是、现在仍然是乳腺癌治疗的重要组成部分，尽管前哨淋巴结活检术 (SLNB) 已经彻底改变了乳腺癌手术。SLNB 提供了与 ALND 相同的预后信息，但发病率显著降低。过去 20 年进行的多项试验的结果使 SLNB 成为早期乳腺癌治疗的金标准。ALND 是一种非常标准化的干预措施，具有精确的标志和边界。准确的技术和对腋窝解剖结构的良好了解是正确和完整的 ALND 的必要条件。但是，即使采用精细和仔细的解剖技术，全面的 ALND 也可能与重要的发病率相关。如今，ALND 的适应证不断发展，但该手术在乳腺癌治疗中仍然占有不可争议的地位。
