Axillary lymph node dissection for breast cancer to retain the clinical value of ICBN.docVIP

 PAGE \* MERGEFORMAT 13 Axillary lymph node dissection for breast cancer to retain the clinical value of ICBN Of: Zhu Ying Chang, Chen Qisheng, Chenzhuo Rong, Liang Chao [Abstract] Objective To investigate the axillary lymph node dissection for clinical reserved ICBN. Methods Retrospective analysis of March 2003 to December 2008 were 90 cases of breast cancer surgery, including lymph node dissection in Intercostobrachial reserved nerve in 65 cases (preservation group), intercostal nerve resection in 25 cases (resection group); compared postoperative skin feel, the number of harvested lymph nodes, the recurrence rate, complications and other clinical data. Results retention group were ipsilateral medial arm and axillary paresthesias occurred was 12.3% (8 / 65), while the resection group 80.0% (20/25) patients with abnormal sensation between the two groups was statistically significant (P lt;0.01). The average follow-up 3.5 a, 90 patients were no axillary local recurrence. two the number of harvested lymph nodes and postoperative complication rate was no significant difference (Pgt; 0.05). Conclusion I, II, III breast cancer with lymph node dissection purposes of reservation of intraoperative intercostal nerve and help keep the inside of the upper arm and axilla in patients with sensory function of the skin, improves the quality of life of patients, without increasing the surgical complications, does not affect the radical surgery, with a good clinical value . [Keywords:] breast cancer; intercostal nerve; axillary lymph node dissection March 2003 to December 2008, we have 90 patients underwent modified radical mastectomy of breast cancer or breast-conserving surgery, some patients in the axillary lymph node dissection based on the retention intercostal nerve (ICBN), good results are reviewed as follows. 1 Clinical data 1.1 General Information This group were female, aged 23 to 75 years (mean 57.5 + -13.6 years). Course of 3 d ~ 4 a, of which