Gomatos IP, Filippakis G, Albanopoulos K, Zografos G, Leandros E, Bramis J, Konstadoulakis MM. Surg Laparosc Endosc Percutan Tech. 2006 Aug;16(4):232-6.
Θεματολογία: Γενική Χειρουργική – Μαστός – Κλινική / Χειρουργική Τεχνική
Μεθοδολογία: Έρευνα
Αριθμός Ατόμων: 4
Αναφορές (Citations): Google Scholar: 4, ISI:1, Scopus:1
Συντελεστής Απήχησης(Impact Factor): 0.789

Abstract

AIM: To present our initial experience with complete endoscopic axillary lymph node dissection (EALND) in 4 breast cancer patients with respect to feasibility, safety, and clinical outcome. PATIENTS AND METHODS: Between January 2003 and March 2004, 4 women consented to be treated with lumpectomy followed by complete (level I, II, and III) EALND without liposuction, at the Laparoendoscopic Unit of Athens Medical School. All 4 patients presented with a solitary breast cancer lesion smaller than 2 cm in diameter and a negative clinical and sonographic lymph node status (<1 cm). RESULTS: All the operations were completed endoscopically in less than 70 minutes (44 to 69 min). The axillary lymph node harvest ranged between 12 and 21 nodes. No lymphedema, motor nerve damage, seroma formation, or wound complications were observed. Prolonged hospitalization, owing to persistent lymphorrhoea was required for 1 patient. During a mean follow-up of 21.3 months, 2 patients reported mild hypoesthesia-paresthesia along the upper medial part of the respective arm, whereas no tumor recurrences were documented. CONCLUSIONS: Although partial EALND has not been established as the treatment of choice for axillary management, complete EALND seems to be a feasible and effective minimally invasive treatment modality, which could be safely applied in patients with positive sentinel node biopsy, treated in specialized centers.
Cited by:
1. Endoscopic axillary dissection: A systematic review of the literature. María Eugenia Aponte-Ruedaa, Ramón A. Saade Cárdenas b, Miguel J. Saade Aure c. The Breast Volume 18, Issue 3, Pages 150-158 (June 2009).
2. Re: Video Endoscopic Lymphadenectomy: A New Minimally Invasive Procedure for Radical Management of Inguinal Nodes in Patients with Penile Squamous Cell Carcinoma. Giorgio Carmignani. Medical Image Analysis Volume 53, Issue 2, Pages 451-452 (February 2008).
3. Experimental model as training tool in endoscopic axillary dissection. María Eugenia Aponte-Rueda, Ramón A. Saade-Cárdenas, Salvador Navarrete-Aulestia.Minimally Invasive Therapy & Allied Technologies April 2010, Vol. 19, No. 2 : Pages 61-68.