ObjectiveTo investigate the clinical application value of endoscopic small axillary incision for breast-conserving and sentinel lymph node biopsy under laparoscopy in early breast cancer.
MethodsOne hundred and three patients with early breast cancer were divided into the endoscopic group(n=41) and traditional open group(n=62) according to the surgical methods.The number and detection rate of sentinel lymph nodes, perioperative indexes, breast appearance satisfaction and postoperative complications were compared between two groups.
ResultsThe operations of all patients were successfully completed.No transfer case was found in endoscopic group, and the success rate of the endoscopic group was 100%.The differences of the number and detection rate of sentinel lymph nodes, perioperative indexes and postoperative complications between two groups were not statistically significant(P>0.05).The postoperative breast appearance satisfaction of the endoscopic group was 100.0%, which was significantly higher than that of traditional open group(83.87%)(P < 0.05).Two groups were followed for 6 to 11 months, and the median follow-up time was 8.5 months.No transfer case was found in endoscopic group.The upper limb movement were good, and there was no local recurrence or distant metastasis in two groups.
ConclusionsThe clinical effects of the endoscopic small axillary incision for breast conserving combined with sentinel lymph node biopsy in treating early breast cancer is similar to that of traditional open surgery.In addition, the surgical incision is concealed, the cosmetic effect of breast is better, the quality of life is higher, and which is worthy of clinical promotion.
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