Application of preventive lymphaticovenular anastomosis in breast cancer patients with axillary lymph node dissection based on multidisciplinary collabration
Objective To observe the effect of axillary lymph node dissection(ALND)and preventive lymphaticovenular anastomosis(LVA)on postoperative upper limb lymphedema and quality of life in patients with breast cancer based on the multidisciplinary callabration model.Methods A total of 17 patients with breast cancer who underwent ALND and preventive LVA admitted to the Department of Breast Surgery of Affiliated Tumor Hospital of Guangxi Medical University from August 2022 to July 2023 were entrolled.By establishing a multidisciplinary team,the medical model of preoperative multi-disciplinary treatment,assisting patient decision-making,postoperative rehabilitation guidance,and internet plus management were implemented.Monitored the circumference of the upper limbs and evaluated the postoperative quality of life using the Chinese version of the WHOQOL-BREF.Results The follow-up time was 9.60-19.30(12.74±2.51)months.The difference in the circumference of upper limbs was 0.50(0.03,0.88)cm before surgery and 0.50(0.13,1.00)cm at the last follow-up,no limb lymphedema occured after operation.At the last follow-up,the patient's quality of life score was 15.40±2.37,16.64±2.19,14.80±2.66 and 15.43±2.12 in the physiological,psychological,social relations and environmental fields,respectively,and the highest scores was in the psychological fields.Conclusion Preventive LVA under the multidisciplinary callabration model can increase the participation of breast cancer patients in treatment decision-making,reduce the occurrence of postoperative lymphedema and improve the quality of life of patients.
Breast cancerLymphaticovenular anastomosisLymphedemaPreventative healing approachMultidisciplinary collaboration
万方数据
维普
