Abstract
BackgroundEndoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND.MethodsFifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction method (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). The operation time, cosmetic result, drainage amount, and hospitalization time of the two groups were compared.ResultsThe median EALND operation time of TLM group and ILM group were 68 and 46 min, respectively, the difference was significant (P < 0.05); the median cosmetic results of the two groups were 6.6 and 6.4, respectively; the median drainage amount of the two groups were 366 and 385 ml, respectively; the hospitalization time of the two groups were 15 and 16 days, respectively. For the last three measures, no significant difference was confirmed (P > 0.05).ConclusionsOur work suggests immediate liposuction could shorten the endoscopic axillary lymphadenectomy process, and this method would not compromise the operation results. However, due to the limitations of the research, more work needs to be done to prove the availability and feasibility of immediate liposuction.
Highlights
Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time
All patients were informed about the details of the study, they were assigned to the traditional liposuction method (TLM) group, n = 30) or immediate liposuction method (ILM) group, n = 29) by convenient sampling
The age, tumor size, histological types of the tumor, and lymph node removed in ILM group and TLM group are listed in Table 1; no significant differences were found between the two groups
Summary
Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND. Lumpectomy, quadrantectomy, or mastectomy would be chosen to remove the tumor itself, axillary lymphadenectomy is carried out to decrease the local recurrence rate, help to define the pathological stage of the disease, and determine future therapy for these patients. Shi et al World Journal of Surgical Oncology (2017) 15:35 aesthetic purpose, liposuction might be carried out right after the tumescent liquid has been injected [8], but whether this might work for breast cancer surgery remains unclear. We tried to remove the waiting time so as to shorten the total operation time, and we want to find out whether this change would compromise the operation results. The axillary adipose tissue was aspirated with cannulae through the inspection incision immediately (ILM group) or started until 20 min later (TLM group)
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