caa a22 4500 475779800 CHVBK 20180406123641.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000229 doi (NATIONALLICENCE)springer-10.1007/s004640000229 The thoracoscopic approach for internal mammary nodes in breast cancer [Elektronische Daten] [Y. Ogawa, T. Ishikawa, K. Ikeda, S. Takemura, B. Nakata, Y. Nishiguchi, Y. Kato, K. Hirakawa] Background: This pilot study was conducted to estimate the use of the thoracoscopic surgery as a new approach for the internal mammary nodes (IMN) in breast cancer. Patients and methods: For this study, 21 women with breast cancer who underwent the approach for nodes IMN were enrolled. All the women had suspicious IMN metastasis and no distant metastasis. Results: Thoracoscopic IMN dissection was performed safely for 20 of the women, with an average operative time of 44 min. One woman was excluded from the procedure because of pleural adhesion. The patients were restricted from walking for 1.3 days because of chest drainage, but no patients had severe complication or chest wall deformity after the operation. Six patients had positive IMN outcomes. After surgery, 10 of the 20 patients had a lower tumor node metastases (TNM) staging. Two patients who tested positive for IMN and three who tested negative experienced a relapse, but none had pleural dissemination in a median follow-up period of 24 months. Conclusion: Thoracoscopic surgery may be useful in managing patients with IMN. Springer-Verlag New York Inc., 2000 Key words: Breast cancer — Internal mammary node — Lymph node dissection — Thoracoscopic surgery nationallicence Ogawa Y. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Ishikawa T. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Ikeda K. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Takemura S. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Nakata B. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Nishiguchi Y. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Kato Y. Institute of Geriatrics and Medical Science, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Hirakawa K. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1149-1152 0930-2794 14:12<1149 2000 14 464 https://doi.org/10.1007/s004640000229 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000229 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ogawa Y. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Ishikawa T. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Ikeda K. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Takemura S. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Nakata B. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Nishiguchi Y. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Kato Y. Institute of Geriatrics and Medical Science, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 700 1- Hirakawa K. First Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan, JP aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1149-1152 0930-2794 14:12<1149 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer