Related Experiment Video
Updated: Aug 8, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Total mastectomy with axillary dissection. A modified radical mastectomy
American Journal of Surgery
|November 1, 1977
Summary
A new surgical technique for total mastectomy and axillary dissection is presented. This method enhances dissection thoroughness while preserving cosmetic and functional outcomes, building upon the Patey operation.
Area of Science:
- Surgical Oncology
- Breast Surgery
Background:
- Complete axillary dissection is crucial for breast cancer staging and treatment.
- Existing techniques may compromise functional or cosmetic outcomes.
Purpose of the Study:
- To describe a modified total mastectomy technique with complete axillary dissection.
- To evaluate the feasibility of preserving pectoralis major innervation and function.
Main Methods:
- The described technique involves dividing the pectoralis major muscle, preserving its innervation.
- The pectoralis minor muscle is resected to facilitate axillary access.
- Reconstruction is performed after the dissection is complete.
Main Results:
- The modification allows for thorough axillary dissection, including the apex.
- Innervation of the pectoralis major muscle is preserved.
- Cosmetic and functional benefits similar to the Patey operation are maintained.
Conclusions:
- This modified technique offers a safe and effective approach for total mastectomy with complete axillary dissection.
- It balances oncologic clearance with the preservation of important functional and aesthetic results.
