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| Application of lipolytic solution in modified radical mastectomy of breast cancer under endoscopy |
| XU Wang YU Kun-lin JIN Zhong-kui LIU Chang-shan LUO Cai-lu |
| The Third Ward of General Surgery,Yichun People′s Hospital,Jiangxi Province,Yichun 336000,China |
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Abstract Objective To explore the application effect of lipolytic solution in modified radical mastectomy of breast cancer under endoscopy.Methods A total of 90 patients who underwent laparoscopic modified radical mastectomy for breast cancer treated in our hospital from June 2018 to September 2019 were selected as the research objects for retrospective analysis.The patients were divided into group A and group B according to whether they used lipolytic solution adjuvant therapy,45 cases in each group.Patients in group A were treated with lipolysis for axillary lymph node dissection for breast cancer,and patients in group B were treated with axillary lymph node dissection with preserving intercostal brachial nerves.The operation-related indicators,drainage fluid and postoperative complications were compared between the two groups.Results The cleaning time,total operation time,and drainage time in the group A were shorter than those in the group B,the differences were statistically significant(P＜0.05);the intraoperative blood loss in the group A was less than that in the group B,and the difference was statistically significant(P＜0.05);the number of lymph node dissections in group A was more than that in group B,the difference was statistically significant(P＜0.05).The drainage fluid of the two groups of patients at 2,3,and 4 days after surgery was less than that in the group at 1 day after surgery,and the drainage fluid of group A was less than that in the group B at 1,2,3,and 4 days after surgery,the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in group A was lower than that in the group B,and the difference was statistically significant(P＜0.05).Conclusion The lipolytic solution has a good effect in the modified radical mastectomy of breast cancer under laparoscopic surgery,which can significantly improve the operation-related indicators of patients and reduce the incidence of complications.
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Received: 20 December 2019
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