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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.

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/98a7/10870804/81bd26d1f60f/cureus-0016-00000052434-i01.jpg

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