ABSTRACT
ObjectiveTo analyze the short-term efficacy of mastoscopic axillary lymph node dissection for the patients with early breast cancer who undergo breast-conserving surgery.MethodsThirty patients who met the standard of breast-conserving surgery were divided into two groups by random digits table with 15 cases each.All of these patients underwent breast-conserving surgery,then study group underwent mastoscopic axillary lymph node dissection while control group underwent open technique.The short-term efficacy was observed and compared between two groups.ResultsThe operation time in study group [(88.0 ± 18.0) min] was longer than those in control group [(68.0 ± 12.5) min] with significant difference (P =0.001 ).The incidence of upper extremity edema [ 6.7％ ( 1/15 ) ] and intercostobrachial nerve injury (0) in study group was lower than those in control group[60.0％(9/15),40.0％(6/15) ] with significant difference(P =0.002,0.022).There was no significant difference in blood loss,nodes harvest,total drainage volume and residual cancer cells between two groups [ ( 18.0 ± 12.2) ml vs.(21.3 ± 9.0) ml; 14.6 ±5.0 vs.16.4 ±3.6; (87.9 ±25.1) ml vs.(86.3 ±13.8) ml;6.7％(1/15) vs.13.3％(2/15)] (P ＞0.05).ConclusionsMastoscopic axillary lymph node dissection has the similar nodes harvest with open technique.The incidence of adverse reaction is lower,and the short-term effect is better.