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Axillary lymph node clearance: overcoming the technical difficulties.

Maged Hussien1, R A J Spence

  • 1Breast Surgery Unit, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB, UK. magedhussien@hotmail.com

Breast (Edinburgh, Scotland)
|March 17, 2004
PubMed
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A novel axillary clearance retractor simplifies level III axillary lymph node dissection for invasive breast cancer. This device enhances surgical visualization and ease of use, potentially improving outcomes for patients undergoing mastectomy or breast conservation surgery.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Medical Devices

Background:

  • Complete axillary clearance is standard for selected invasive breast cancer patients.
  • Level III axillary clearance presents technical challenges, including node location, proximity to vessels, lighting, and assistant requirements.

Purpose of the Study:

  • To evaluate a novel axillary clearance retractor designed to address technical difficulties.
  • Assess the retractor's efficacy in level III axillary clearance.

Main Methods:

  • The retractor was utilized in 30 invasive breast cancer patients undergoing mastectomy (16) or breast conservation surgery (14).
  • The table-based retractor offers simultaneous illumination and features components for muscle and skin retraction.
  • Reduced need for surgical assistants was noted.

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Main Results:

  • The mean number of total lymph nodes removed was 19.4 (range 11-50).
  • An average of 2.4 level III lymph nodes were identified (range 0-8).
  • Six patients (20%) developed manageable axillary seroma.

Conclusions:

  • The axillary clearance retractor is user-friendly and complication-free.
  • The device effectively overcomes technical challenges in axillary clearance surgery.
  • Facilitates improved surgical procedures for breast cancer treatment.