Quadrantectomy and video-assisted axillary dissection for Stage I breast cancer

Author： Hüscher C.G.S. Barreca M. Di Paola M. Ricchiuti C. Lirici M.M.

ISSN： 1364-5706

Source： Minimally Invasive Therapy and Allied Technologies, Vol.11, Iss.1, 2002-01, pp. : 23-28

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Abstract

Quadrantectomy with axillary-node dissection is the treatment of choice for early-stage breast cancers. The minimally invasive approach to axillary dissection has the theoretical prerequisite to be oncologically correct, while ensuring a better cosmetic result and causing less psychological distress. A prospective, randomised study was carried out to assess the feasibility and the preliminary results of video-assisted axillary-node dissection. Quadrantectomy and video-assisted axillary-node dissection (study group = 10 patients) was compared with standard quadrantectomy and axillary-node dissection (control group = 12 patients operated on during the same period of time). The early outcomes were analysed, taking into account the following parameters: patient's age, ASA group, staging, operating time, number of nodes harvested, postoperative pain, postoperative course (complications, lymphatic drainage, upper-limb mobility), hospital stay and cosmetic results at 6 months. Follow-up was 43–70 months in the study group and 43–64 months in the control group.