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Preservation of the Intercostobrachial Nerve during axillary dissection for Breast Cancer at the Surgical Oncology Unit of Cancer Department of Dakar University

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Advances in Breast Cancer Research 2022年第1期11卷 63-68页

作者： Sidy Ka Michel Auguste Mouelle Mohammed Ezzet Charfi Jaafar Thiam Souleymane Dieng Salif Balde Moustapha Dieng Ahmadou Dem Centre Hospitalier Universitaire Le Dantec Dakar Sénégal

The intercostobrachial nerve (ICBN) is responsible for the sensory innervation of a part of the inner side of the arm. Injury of the intercostobrachial nerve is a complication of axillary dissection during lymph node dissection. Objective: This study aimed to determine the effect of preservation of the intercostobrachial nerve on postoperative sensory disturbances. Methods: This is a prospective, single-center study which was carried out in 90 patients followed in the oncology department of the Aristide Le Dantec hospital in Dakar, suffering from breast cancer and having undergone breast surgery associated with axillary dissection, for a period of 6 months. The patients were divided into two groups depending on whether the intercostobrachial nerve (ICBN) was preserved or not. The two groups were compared in terms of the incidence of sensory disturbances. Results: Sixty patients without nerve preservation and 30 patients with nerve preservation were included in the study, i.e., 90 patients in total. ICBN was injured in 60 pa

关键词： axillary dissection Intercostobrachial Nerve Pain Hypoesthesia

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Interest of the Padding in the Prevention of Lymphocele Production after Mastectomy with axillary dissection for Breast Cancer at Joliot Curie Cancer Center

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Journal of Cancer Therapy 2020年第12期11卷 824-831页

作者： Mohamed Ezzet Charfi Sidy Ka Jaafar Thiam Adja Coumba Diallo Papa Souleymane Dieng Ahmadou Dem Cheikh Anta Diop University Dakar Senegal

Introduction: The principal postoperative complication of mastectomies with axillary dissection is the lymphocele that can last many months after surgery. The purpose of our study was to prevent its formation using the padding. Methods: Sixty-one patients have been included in our study. The follow-up was 6 months. The patients were divided in two groups through a random draw (simple drainage and drainage associated with padding). All patients had a mastectomy with axillary dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted. Results: Twenty-five patients had benefited from the padding and 36 of a simple axillary drainage. Six months after the surgery, the patients benefitting from the padding had a quantity of lymphocele equal to half that of the control group (761.83 mL against 1373.60 mL;p = 0.01). During the postoperative hospitalization, the quantities were of 362.80 mL for the padding group versus 630.83 mL;p Conclusion: The production of postoperative lymphocele is heterogenous, varying from one patient to another. Nevertheless, the padding of the mastectomy compartment and of the axillary cavity allow

关键词： Mastectomy axillary dissection Lymphocele Padding

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Is it necessary to do axillary dissection in old women with breast cancer? A meta-analysis of randomized clinical trials

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中华乳腺病杂志(电子版) 2012年第6期6卷 622-630页

作者： Chong Le Tian Jin-hui Gu Jing Yang Ke-hu Evidence-Based Medical Center School of Basic Medical SciencesLanzhou University

Objective To assess the effectiveness and safety of axillary dissection in old women with breast cancer.Methods All randomized controlled trials on axillary dissection in old woman were retrieved in the Cochrane Library,PubMed,EMBASE and Chinese Biomedical Literature Database.Meta-analyses were completed using RevMan 5.1.Results Three eligible randomized controlled trials (RCTs) including 5337 patients were involved.There were weak evidences in favor of axillary dissection in old woman.The meta-analysis showed that the overall survival (OS) in 1,3,5 and 7 years and the disease-free survival (DFS) in 1,3 and 5 years were not statistically different between axillary dissection patients and non-axillary dissection patients.However there was a statistical difference in 7-year DFS.Conclusions axillary dissection does not show a survival benefit in the old women with breast cancer.Therefore it is not well-founded to do axillary dissection in old women with breast cancer.

关键词： breast neoplasms axillary dissection meta-analysis randomized controlled trials

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