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Japanese

Clinical experience of endoscopic vein retractor, FREIBURG model for breast cancer in endoscopic surgery Shinji OZAKI 1 , Eisuke FUKUMA 1 , Naomi SAKAMOTO 1 , Masaaki SAKAMOTO 1 , Terumasa KURIHARA 1 , Takako SUZUKI 1 1Breast Center, Kameda Medical Center Keyword: 乳癌 , 内視鏡下手術 pp.137-145
Published Date 2010/2/15
DOI https://doi.org/10.11477/mf.4426100449
  • Abstract
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 During endoscopic surgery for breast cancer in which the fascia of pectoralis major is dissected, Vein Harvest Equipment(VH)(endoscopic instrument used for harvesting great saphenous vein) (Johnson & Johnson)is often used.

The advantage of using VH is that it becomes possible to dissect the dorsal layer of the mammary gland from a small axillar incision used for sentinel lymph-node biopsy.

This technique make it easy to dissect the dorsal layer of the excised and mobilized mammary gland in breast-conserving surgery, and all the dorsal layer of mammary gland in subcutaneous total glandectomy.

This time, we used Endoscopic Vein RetractorTM(VR) (KARL STORZ ENDOSCOPY)as the alternative instrument for VH and performed endoscopic breast surgery in 11 cases of breast cancer.

The usability of VR is equivalent to that of VH, so VR is useful for dissecting the dorsal layer of the mammary gland.

In addition, VR is a reusable and break-resistant stainless steel instrument, so using VR has an advantage in cost saving. VR is a usable instrument for endoscopic surgery for breast cancer.


Copyright © 2010, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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