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Related Experiment Video

Updated: Jun 25, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Trends in Immediate Lymphatic Reconstruction.

Shahnur Ahmed1, Aladdin H Hassanein2, Mary E Lester3

  • 1Surgery, Indiana University, Indianapolis, USA.

Cureus
|May 29, 2024
PubMed
Summary
This summary is machine-generated.

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Health communication·2026

Immediate lymphatic reconstruction (ILR) after axillary lymph node dissection (ALND) significantly increased at our institution. This procedure helps reduce lymphedema in breast cancer patients, showing growing adoption with established programs.

Area of Science:

  • Oncology
  • Microsurgery
  • Lymphedema Research

Background:

  • Immediate lymphatic reconstruction (ILR) is an emerging technique following axillary lymph node dissection (ALND) for breast cancer.
  • ILR has demonstrated a significant reduction in lymphedema rates, from 30% to 3-13%.

Purpose of the Study:

  • To evaluate the trends in the utilization of ILR after ALND at a single institution.
  • To assess the impact of establishing an ILR program on procedure uptake.

Main Methods:

  • Retrospective review of breast cancer patients who underwent ALND between 2017 and 2022.
  • Analysis of patient demographics, tumor characteristics, and treatment data for patients with and without ILR.
  • Statistical analysis to determine trends and significance of ILR adoption.
Keywords:
alnd: - axillary lymph node dissectionaxillary lymphadenectomybreast cancer related lymphedemabreast lymphedemalympho-venous-anastomosis

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Last Updated: Jun 25, 2025

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Main Results:

  • 30.7% of 316 patients undergoing ALND received ILR.
  • A significant increase in ILR utilization was observed from 4.2% in 2017 to 54.5% in 2022.
  • The odds of receiving ILR after ALND increased by 1.8 (p=0.04) over the study period.

Conclusions:

  • The frequency of ILR after ALND in breast cancer patients has substantially increased.
  • Establishing a dedicated ILR program drives increased procedure uptake and utilization growth.