Intercostal nerve to retain the significance of breast cancer surgery.docVIP

 PAGE \* MERGEFORMAT 3 Intercostal nerve to retain the significance of breast cancer surgery Author: HAO Jing ZHAN Hua Shi Yong-Min PAN Xiao-Ming Lin [Keywords:] Breast Cancer Abroad in the last century 60’s made in breast cancer surgery retain Intercostal Nerve (intercostobrachial nerve, ICBN) problem [1]; undergraduate in January 2004 to January 2007, the 91 treated cases of female breast cancer patients , of which 61 cases of retained ICBN, the remaining 30 cases as control group, these are as follows. 1 Data and methods 1.1 General Information 61 cases of Ⅰ , Ⅱ , Ⅲ a period of patients with breast cancer ICBN retain age groups 26 to 80 years, with an average 46.5 years. 0 3 cases, Ⅰ period of 31 cases, Ⅱ period of 22 cases, Ⅲ a period of 5 cases. Of which 42 cases of infiltrating ductal carcinoma, invasive lobular carcinoma in 15 cases, simple carcinoma in 2 cases, ductal carcinoma in situ in 2 cases. The control group of 30 patients aged 31 to 76 years, with an average 48.3 years of age. 7 cases of stage Ⅰ , Ⅱ period 14 cases, Ⅲ a period of 9 cases. Of which 21 cases of infiltrating ductal carcinoma, invasive lobular carcinoma, 4 cases, 5 cases of cancer alone. 1.2 Methods According to tumor location, obtain horizontal or vertical incision, routine separation of flap, the subcutaneous fat, together with all the breast and its deep surface of pectoralis major fascia, from top to bottom, separated from the inside out directly to axillary block, cut coracoclavicular fascia (if Patey is surgical removal of pectoralis minor muscle), revealed axillary vein and axillary vein can first remove the surrounding lymph nodes and adipose tissue, and then shun the chest wall from top to bottom cleaning, in the rear lateral border of pectoralis minor muscle, can be seen with the second intercostal space at the junction of a diameter of about 1.5 ~ 2mm of the transverse intercostal nerve piercing, running perpendicular with the long thoracic nerve, namely the