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目的探讨乳腺癌Auchincloss手术中经胸肌入路锁骨下淋巴结清扫的术式。方法乳腺癌Auchincloss术式加用后颅凹牵开器经胸肌入路牵开胸大肌,保留胸前神经和胸肩峰血管,清扫锁骨下淋巴结。结果33例患者中6例患者出现锁骨下淋巴结转移,术后并发症也无明显增加。结论乳腺癌Auchincloss术式经胸肌入路可以清扫彻底锁骨下淋巴,保留胸前神经和胸肩峰血管,在乳腺癌新分期下,是一种较好的新方法,具有很高的临床应用价值。
Objective To investigate the operative procedure of subclavian lymph node dissection through the breast muscle in Auchincloss breast cancer. Methods Breast cancer Auchincloss plus posterior fossa retractor through the chest muscle approach pectoralis major, keeping the chest thoracodorsal blood vessels and clear the subclavian lymph nodes. Results In 33 patients, 6 patients had subclavian lymph node metastasis, and postoperative complications did not increase significantly. Conclusion Breast cancer Auchincloss trans-thoracic approach can completely clear the subclavian lymph and preserve the anterior thoracic nerve and thoracolumbar blood vessels. It is a better new method in the new stage of breast cancer and has a high clinical value .