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Efficacy of da Vinci robot-assisted lymph node surgery than conventional axillary lymph node dissection in breast
Kuo Chen1,2, Narasimha M Beeraka2,3, Jin Zhang1
1Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Background:
da Vinci robot-assisted axillary lymph node dissection (dVALND) can be a minimally invasive technique to minimize post-operative complications.
Objective:
To explore the clinical efficacy of dVALND in breast cancer (BC) patients for mitigating the postoperative complications than conventional ALND.
Methods:
Total 60 female patients with BC were admitted to our hospitals since September 2018, and these patients segregated into two groups of 30 patients each. Modified radical mastectomy for BC was performed to the patients in both groups. In Group 1 (control group), ALND was performed using conventional mode of axillary lymph node surgery. In Group 2 (Test group), the dVALND was performed using da Vinci robot-assisted surgery. Wound healing, aesthetic effect and patient's satisfaction were evaluated after conventional method and dVALND.
Results:
Postoperative complications viz., wound infection (1/30 (3.33%), p < 0.05), fat necrosis (3/30 (10%), p < 0.05) and lymphedema of upper limbs (2/30 (6.67%), p < 0.05) were observed in dVALND than conventional surgery. Local recurrence or metastasis was minimized and overall aesthetic effect not observed during follow-up.
Conclusion:
dVALND improved the overall patient's quality of life by mitigating postoperative complications than ALND.
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