文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

腋窝淋巴结清扫术:通过正确技术进行安全解剖

Axillary Lymphadenectomy: Safe Dissection Through a Correct Technique.

作者信息

Slavu Iulian M, Tulin Adrian, Filipoiu Florin, Dogaru Alexandru, Munteanu Octavian, Anca Monica Oprescu Macovei, Tulin Raluca, Ursut Bogdan

机构信息

Anatomy, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

General Surgery, Agrippa Ionescu Emergency Hospital, Bucharest, ROU.

出版信息

Cureus. 2024 Jan 17;16(1):e52434. doi: 10.7759/cureus.52434. eCollection 2024 Jan.


DOI:10.7759/cureus.52434
PMID:38371030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10870804/
Abstract

The primary treatment of breast cancer in sentinel-positive ganglia includes axillary lymphatic nodal dissection. The LAD (lymphatic axillary dissection) has decreased in overall numbers but due to the increasing incidence of breast cancer, it is practised on a daily basis, even though there is a myriad of complications such as numbness of the upper limb and chest wall, movement restriction of the upper limb, and chronic pain which appear due to trauma to the nerves which pass through the axilla. However, the utility in the overall survival or DFS (disease-free survival) of the patient is unquestionable.  In our study, through the dissection of cadavers, we exposed the vital structures and the anatomical relations of this region. We aimed to offer a map or technique for the surgeon to follow to decrease the overall morbidity of this procedure.

摘要

前哨淋巴结阳性的乳腺癌的主要治疗方法包括腋窝淋巴结清扫术。腋窝淋巴结清扫术的总体实施数量有所减少,但由于乳腺癌发病率不断上升,尽管存在诸多并发症,如上肢和胸壁麻木、上肢活动受限以及因穿过腋窝的神经受到创伤而出现的慢性疼痛等,该手术仍每天都在进行。然而,其对患者总生存期或无病生存期的作用是毋庸置疑的。在我们的研究中,通过尸体解剖,我们暴露了该区域的重要结构和解剖关系。我们旨在为外科医生提供一份可遵循的图谱或技术,以降低该手术的总体发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/532d83543b90/cureus-0016-00000052434-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/81bd26d1f60f/cureus-0016-00000052434-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/19f3b4aabc3b/cureus-0016-00000052434-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/afca7dd57a11/cureus-0016-00000052434-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/af6373969d4e/cureus-0016-00000052434-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/532d83543b90/cureus-0016-00000052434-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/81bd26d1f60f/cureus-0016-00000052434-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/19f3b4aabc3b/cureus-0016-00000052434-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/afca7dd57a11/cureus-0016-00000052434-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/af6373969d4e/cureus-0016-00000052434-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a7/10870804/532d83543b90/cureus-0016-00000052434-i05.jpg

相似文献

[1]
Axillary Lymphadenectomy: Safe Dissection Through a Correct Technique.

Cureus. 2024-1-17

[2]
[Optimal treatment of the axilla after positive sentinel lymph node biopsy in early invasive breast cancer. Early results of the OTOASOR trial].

Orv Hetil. 2013-12-8

[3]
Tailored axillary surgery with or without axillary lymph node dissection followed by radiotherapy in patients with clinically node-positive breast cancer (TAXIS): study protocol for a multicenter, randomized phase-III trial.

Trials. 2018-12-4

[4]
[Management of the axilla in breast cancer: evidences and unresolved issues].

Orv Hetil. 2001-9-9

[5]
Eight-year follow up result of the OTOASOR trial: The Optimal Treatment Of the Axilla - Surgery Or Radiotherapy after positive sentinel lymph node biopsy in early-stage breast cancer: A randomized, single centre, phase III, non-inferiority trial.

Eur J Surg Oncol. 2017-4

[6]
Sentinel-node biopsy to avoid axillary dissection in breast cancer with clinically negative lymph-nodes.

Lancet. 1997-6-28

[7]
Blue dye injection in the arm in order to conserve the lymphatic drainage of the arm in breast cancer patients requiring an axillary dissection.

Ann Surg Oncol. 2007-9

[8]
Effect of Axillary Dissection vs No Axillary Dissection on 10-Year Overall Survival Among Women With Invasive Breast Cancer and Sentinel Node Metastasis: The ACOSOG Z0011 (Alliance) Randomized Clinical Trial.

JAMA. 2017-9-12

[9]
Arm morbidity following sentinel lymph node biopsy or axillary lymph node dissection: a study from the Danish Breast Cancer Cooperative Group.

Breast. 2008-4

[10]
Endoscopic axillary exploration and sentinel lymphadenectomy.

Surg Endosc. 1999-1

本文引用的文献

[1]
From Cadaveric Dissection to the Operating Room: A Unilateral Double Intercostobrachial Nerve and the Implications in Axillary Lymph Node Dissection.

Cureus. 2023-3-24

[2]
Surgical Management of the Axilla for Breast Cancer.

Hematol Oncol Clin North Am. 2023-2

[3]
Sentinel Lymph Node Methods in Breast Cancer.

Semin Nucl Med. 2022-9

[4]
Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review.

Cancers (Basel). 2021-8-25

[5]
Dissection of Level III Axillary Lymph Nodes in Breast Cancer.

Cancer Manag Res. 2021-2-26

[6]
Axillary surgery in breast cancer: An updated historical perspective.

Semin Oncol. 2020-12

[7]
The potential of breast cancer screening in Europe.

Int J Cancer. 2021-1-15

[8]
Axillary lymph node dissection in node-positive breast cancer: are ten nodes adequate and when is enough, enough?

Breast Cancer Res Treat. 2019-11-18

[9]
Management of the axilla in patients with breast cancer and positive sentinel lymph node biopsy: An evidence-based update in a European breast center.

Eur J Surg Oncol. 2019-8-13

[10]
The decline of axillary lymph node dissection in breast cancer. Evolution of its indication over the last 20 years.

Cir Esp (Engl Ed). 2019-4

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索