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Related Experiment Video

Updated: Jun 27, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
11:49

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

Published on: April 3, 2026

[Elective lymph node dissections--still a standard in cancer surgery?].

D Hölzel1, J Engel, U Löhrs

  • 1Institut für Med. Informationsverarbeitung, Biometrie und Epidemiologie (IBE) der Ludwig-Maximilians-Universität, München. hoe@ibe.med.uni-muenchen.de

Zentralblatt Fur Chirurgie
|December 19, 2008
PubMed
Summary

Radical lymph node dissection in tumor surgery may no longer be standard. Evidence suggests lymph node status is a marker, not a cause, of distant metastases, questioning the necessity of routine dissection.

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Prolonged time to breast cancer surgery and the risk of metastasis: an explorative simulation analysis using epidemiological data from Germany and the USA.

Breast cancer research and treatment·2025
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[Clinical and epidemiological cancer registration in Germany].

Der Pathologe·2016
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[Changes in therapy for breast cancer patients as a result of mammography screening. An analysis of Bavarian cancer registry data from 2000 to 2008].

Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))·2013
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[Importance of lymph node dissection. Worthy of many questions].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2011
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Quality of life in localised malignant melanoma.

Annals of oncology : official journal of the European Society for Medical Oncology·2010
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[Ten years of epidemiological cancer registration in Bavaria].

Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))·2009

Area of Science:

  • Oncology
  • Surgical Oncology
  • Cancer Metastasis

Context:

  • Elective radical dissection of regional lymph nodes has been a standard surgical procedure for over a century.
  • Current practices are being re-evaluated based on evolving understanding of cancer metastasis.

Purpose:

  • To critically assess the continued relevance of standard lymph node dissection in tumor surgery.
  • To determine if current lymph node dissection protocols align with the biological understanding of metastatic spread.

Summary:

  • Lymph node status, while a prognostic factor, does not appear to be a causal factor in distant metastases.
  • The number of positive lymph nodes may serve as a marker rather than a direct cause of disease progression.
  • Local recurrences and distant metastases, rather than lymph node positivity itself, significantly impact patient survival.

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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

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Last Updated: Jun 27, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
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Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

Published on: April 3, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Impact:

  • Findings suggest a potential shift away from routine lymph node dissection towards more selective approaches.
  • Reducing lymph node dissection in cases where it doesn't influence treatment decisions could be a biologically logical consequence.
  • This re-evaluation may lead to revised surgical guidelines and improved patient outcomes by minimizing unnecessary procedures.