[Complications of axillary dissection in XXXX ].

@entity1 @entity0 @entity4 @entity260 @entity425 @entity281 @entity158 @entity2693
OBJECTIVE: The objective of the work was to evaluate the incidence and @entity260 after radical exenteration of the axilla in conjunction with an implemented surgical operation. DESIGN: Retrospective clinical study. SETTING: Gynaecological and Obstetric Clinic, First Medical Faculty Charles University and General Faculty Hospital Prague, Apolin  rsk   18, Prague. METHOD: The authors made a retrospective analysis of @entity260 in 116 selected @entity1 , who underwent partial breast surgery or ablation of the breast with dissection of the axilla at the Gynaecological and Obstetric Clinic, First Medical Faculty Charles University and General Faculty Hospital in Prague in 1994-2000 on account of @entity0 and II according to FIGO. The group comprised @entity1 where radiotherapy or chemotherapy of the axilla was not used. The @entity1 were at least 12 months after operation without signs of locoregional relapse of the disease and in the dissected axillary tissue at least 10 lymph nodes were found. The operations were implemented by nine different surgeons. Early ( @entity281 , haematoma) as well as late ( @entity4 , paraesthesia, @entity2693 , @entity158 , @entity425 ) complications were also evaluated. The authors compared the incidence of complaints in relation to age, the number of dissected nodes and extent of the breast surgery. The statistical significance of the phenomena was evaluated by Fisher's exact test. RESULTS: At least one complication was recorded in 65% of the @entity1 . In early complications (haematoma, @entity281 ) neither the correlation with the @entity1 's age nor with the number of removed nodes was significant. There was a statistically significant relationship (P < 0.05) between the incidence of @entity281 and the extent of the breast surgery which probably was associated with the wound area. As to late complications ( @entity4 , paraesthesia, @entity2693 , @entity158 and @entity425 ) a significant relationship was found with lower @entity158 in @entity1 above 55 years (P < 0.05) and lower sensation of weakness and paraesthesias in @entity1 with partial breast operations (P < 0.05). The more frequent complaints of younger @entity1 were probably due to their greater everyday physical activity as compared with older @entity1 . The higher number of subjective complications in @entity1 after ablation of the breast is explained not only by the size of the wound area but also by psychosocial reasons. CONCLUSION: Dissection of the axilla is part of standard surgical treatment of @entity0 . The surgical operation without radio- or chemotherapy is associated in 65% cases with long-term morbidity of the @entity1 . With regard to the shift of diagnosis of @entity0 to earlier stages it is important to seek a less invasive staging method which will reduce the @entity1 's morbidity. The sentinel node biopsy method seems perspective.
