Clinical analysis of preserving intercostobrachial nerves in modified radical mastectomy for breast cancer

doi:10.3877/cma.j.issn.1674-0793.2015.01.010

Abstract

Abstract:

Objective

To investigate the benefits of preserving intercostobrachial nerves (ICBN) in modified radical mastectomy.

Methods

Forty breast cancer patients (Ⅰ, Ⅱ,Ⅲa) were evenly divided into two groups: the nerves-kept (experimental group) and the nerves-cut (control group). All patients underwent modified radical mastectomy, taking operative time, detection number of lymph node, postoperative paresthesia rate in medial upper arm into consideration.

Results

There was no statistically significant difference in the operation time, number of lymph node between the two groups, while postoperative paresthesia rate in medial upper arm within one month between the groups showed statistically significance, with 10.0% in experimental group against 60.0% in control group (χ² = 10.99, P = 0.003).

Conclusion

For stage Ⅰ,Ⅱ,Ⅲa breast cancer patients, preserving ICBN can not only reduce suffering from pain syndrome, but also improve patients’ living qualities, without increasing the incidence of local recurrence and distant metastasis.

Key words: Breast cancer, Modified radical mastectomy, Intercostobrachial nerves

Xiaomin Yan, Yunhong Hu, Rongrong Cui. Clinical analysis of preserving intercostobrachial nerves in modified radical mastectomy for breast cancer[J]. Chinese Archives of General Surgery(Electronic Edition), 2015, 09(01): 37-39.

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References 13

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组别	例数	平均手术时间( ± s，min）	平均清扫淋巴结数目(枚)	上臂内侧皮肤感觉异常[例(%)]
试验组	20	106.50 ± 12.41	15.20 ± 2.61	2(10.00)
对照组	20	101.40 ± 9.45	15.95 ± 2.54	12(60.00)
统计值	?	t = 1.462	t = 0.921	χ² = 10.990
P值	?	0.155	0.433	0.003

组别	例数	平均手术时间( ± s，min）	平均清扫淋巴结数目(枚)	上臂内侧皮肤感觉异常[例(%)]
试验组	20	106.50 ± 12.41	15.20 ± 2.61	2(10.00)
对照组	20	101.40 ± 9.45	15.95 ± 2.54	12(60.00)
统计值	?	t = 1.462	t = 0.921	χ² = 10.990
P值	?	0.155	0.433	0.003

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