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- W2357363089 abstract "Objective To investigate the feasibility of internal mammary lymph node chain dissection by thoracoscopy in breast cancer patients.Methods Fifteen patients with breast cancer whose tumors located in central or internal place of breast were enrolled in the study.Five or six milliliter of methylene blue was injected into the subcutaneous parenchyma surrounding the tumor.Anesthesia and single-lung ventilation was performed by using a double-lumen endotracheal tube to permit collapse of the same lateral lung.The trocars were introduced through three thoracic incisions of less than 15 mm at the third,the fifth and the seventh intercostal spaces along the midaxillary line.Internal mammary node chain dissection was performed by a thoracoscopic grasper and ultrasonically activated scalpel.Length of the dissection procedure was recorded.Results Eleven patients underwent the thoracoscopic internal mammary node chain excision successfully.The procedure time of thoracoscopic internal mammary node chain excision ranged from 34 to 70 min [average(49.2±9.6) min].A total of 52 internal mammary nodes were removed and 4 patients failed the operation because of unfavorable local anatomic conditions.Internal mammary node metastasis were found in 5 patients,one patient with internal mammary node metastasis but no axillary node metastases.All of the internal mammary nodes were located from the first rib to the fourth intercostal space.There were no damages to the lungs,blood vessels,and other thoracic structures.Conclusion Thoracoscopic internal mammary node dissection can be performed feasibly and easily without any serious complications,which may improve the therapy for breast cancer patients with internal mammary nodal metastases." @default.
- W2357363089 created "2016-06-24" @default.
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- W2357363089 date "2005-01-01" @default.
- W2357363089 modified "2023-09-24" @default.
- W2357363089 title "Thoracoscopic internal mammary nodes chain dissection for breast cancer patients" @default.
- W2357363089 hasPublicationYear "2005" @default.
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