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Modern Endoscopic Approaches to Video-Assisted Sentinel Lymph Node Biopsy and Axillary Lymph Node Dissection: A Review

https://doi.org/10.35401/2541-9897-2024-9-4-120-125

Abstract

This article aims to analyze modern endoscopic techniques of sentinel lymph node biopsy and axillary lymph node dissection in breast cancer surgery.

Owing to more accurate diagnosis and minimized patient morbidity and risks, endoscopic techniques have significantly expanded capabilities of breast cancer surgery.

We review the main endoscopic techniques of sentinel lymph node biopsy and axillary lymph node dissection, analyze their efficacy and safety, and compare their benefits with those of conventional open techniques.

The article discusses results of recent studies regarding diagnostic accuracy and complication rates. Furthermore, we discuss the impact of endoscopic axillary lymph node dissection on the prognosis and quality of life in patients with breast cancer.

About the Authors

R. M. Akhmedov
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Saint Petersburg State Pediatric Medical University
Russian Federation

Ruslan M. Akhmedov - Oncologist, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Postgraduate Student, Department of Oncology, Pediatric Oncology and Radiation Therapy, Saint Petersburg State Pediatric Medical University.

Saint Petersburg



V. V. Konstantinova
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Valeria V. Konstantinova - Oncologist, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



A. B. Vats
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Anna B. Vats - Oncologist, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



A. S. Zhurov
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Aleksandr S. Zhurov - Oncologist, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



Yu. V. Semiletova
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Yulia V. Semiletova - Cand. Sci. (Med.), Oncologist, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



A. A. Olchonova
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Alina A. Olchonova - Oncologist, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



A. M. Belousov
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Aleksandr M. Belousov - Cand. Sci. (Med.), Surgeon, Oncologist, Deputy Director for Medical Affairs (Surgery and Oncology), N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



E. M. Bit-Sava
Saint Petersburg State Pediatric Medical University; Saint Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncological) named after N.P. Napalkov
Russian Federation

Elena M. Bit-Sava - Dr. Sci. (Med.), Professor at the Department of Oncology, Pediatric Oncology and Radiation Therapy, Saint Petersburg State Pediatric Medical University; Oncologist, Head of the Division of Breast Tumors, Saint Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncological) named after N.P. Napalkov.

ulitsa Leningradskaya 68A, poselok Pesochnyi, Saint Petersburg, 197758



G. A. Dashyan
N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University
Russian Federation

Garik A. Dashyan - Dr. Sci. (Med.), Oncologist, Head of the Oncology Unit No. 1, N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University.

Saint Petersburg



References

1. Gradishar WJ, Moran MS, Abraham J, et al. NCCN Guide-lines® Insights: Breast Cancer, Version 4.2023. J Natl Compr Canc Netw. 2023;21(6):594–608. PMID: 37308117. https://doi.org/10.6004/jnccn.2023.0031

2. Keelan S, Flanagan M, Hill ADK. Evolving trends in surgical management of breast cancer: an analysis of 30 years of practice changing papers. Front Oncol. 2021;11:622621. PMID: 34422626. PMCID: PMC8371403. https://doi.org/10.3389/fonc.2021.622621

3. Lin AP, Huang TW, Tam KW. Treatment of male breast cancer: meta-analysis of real-world evidence. Br J Surg. 2021;108(9):1034– 1042. PMID: 34476472. https://doi.org/10.1093/bjs/znab279

4. Cao S, Liu X, Cui J, et al. Feasibility and reliability of sentinel lymph node biopsy after neoadjuvant chemotherapy in breast cancer patients with positive axillary nodes at initial diagnosis: an up-to-date meta-analysis of 3,578 patients. Breast. 2021;59:256– 269. PMID: 34325383. PMCID: PMC8334738. https://doi.org/10.1016/j.breast.2021.07.015

5. Bharath S, Sharma D, Yadav SK, Shekhar S, Jha CK. A systematic review and meta-analysis of touch imprint cytology and frozen section biopsy and their comparison for evaluation of sentinel lymph node in breast cancer. World J Surg. 2023;47(2):478–488. PMID: 36310323. https://doi.org/10.1007/s00268-022-06800-w

6. Jiang Y, Li J, Chen B, et al. Sentinel lymph node biopsy mapped with carbon nanoparticle suspensions in patients with breast cancer: a systematic review and meta-analysis. Front Oncol. 2022;12:818812. PMID: 35419285. PMCID: PMC8995566. https://doi.org/10.3389/fonc.2022.818812

7. Chen Y, Xu J, Liang Y, Zeng X, Xu S. A challenging therapeutic method for breast cancer: non-lipolytic endoscopic axillary surgery through periareolar incisions. Oncol Lett. 2020;19(6):4088–4092. PMID: 32382347. PMCID: PMC7202305. https://doi.org/10.3892/ol.2020.11501

8. Sanders SB, Hoskin TL, Stafford AP, Boughey JC. Factors influencing non-sentinel lymph node involvement in patients with positive sentinel lymph node(s) after neoadjuvant chemotherapy for breast cancer. Ann Surg Oncol. 2022;29(12):7769–7778. PMID: 35834142. https://doi.org/10.1245/s10434-022-12064-4

9. Elshanbary AA, Awad AA, Abdelsalam A, et al. The diagnostic accuracy of intraoperative frozen section biopsy for diagnosis of sentinel lymph node metastasis in breast cancer patients: a meta-analysis. Environ Sci Pollut Res Int. 2022;29(32):47931– 47941. PMID: 35543788. PMCID: PMC9252966. https://doi.org/10.1007/s11356-022-20569-4

10. Barrio AV, Montagna G, Mamtani A, et al. Nodal recurrence in patients with node-positive breast cancer treated with sentinel node biopsy alone after neoadjuvant chemotherapy-a rare event. JAMA Oncol. 2021;7(12):1851–1855. PMID: 34617979. PMCID: PMC8498932. https://doi.org/10.1001/jamaoncol.2021.4394

11. Hartmann S, Kühn T, Hauptmann M, et al; Die AXSANA-Studiengruppe. Axillary staging after neoadjuvant chemotherapy for initially node-positive breast carcinoma in germany: initial data from the AXSANA study. Geburtshilfe Frauenheilkd. 2022;82(9):932–940. PMID: 36110892. PMCID: PMC9470287. https://doi.org/10.1055/a-1889-7883

12. Yao CC, Liu C, Xian J. Comparison of single-pore nonliposuction near-infrared laparoscopy with conventional open surgery for axillary sentinel lymph node biopsy in patients with early breast cancer: a single-center, small-sample retrospective study. World J Surg Oncol. 2023;21(1):66. PMID: 36849976. PMCID: PMC9972847. https://doi.org/10.1186/s12957-023-02942-w

13. Liang Y, Xu S. Nonliposuction Endoscopic sentinel lymph node biopsy through the periareolar incision. Surg Innov. 2020;27(6):570–579. PMID: 32687735. https://doi.org/10.1177/1553350620942983

14. Serra-Mestre JM, Fernandez Peñuela R, DʼAndrea F, Viñals JM, Serra-Renom JM. Endoscopic delayed breast reconstruction with expanders and implants via the axillary incision made for sentinel lymph node biopsy or lymphadenectomy. Ann Plast Surg. 2018;80(2):100–103. PMID: 28930777. https://doi.org/10.1097/SAP.0000000000001208

15. Wang ZH, Gang TR, Wu SS, et al. Single-port endoscopic-sentinel lymph node biopsy combined with indocyanine green and carbon nanoparticles in breast cancer. Surg Endosc. 2023;37(10):7591– 7599. PMID: 37460818. PMCID: PMC10520094. https://doi.org/10.1007/s00464-023-10018-9

16. Liu J, He G, Zhang Y, et al. Feasibility analysis of treating breast cancer patients with breast-conserving surgery via a periareolar incision combined with non-lipolytic suspension-type mastoscopy. Sci Rep. 2023;13(1):12129. PMID: 37495629. PMCID: PMC10372002. https://doi.org/10.1038/s41598-023-39199-y

17. Kim SH, Park S, Kim SJ, Hur MH, Lee BG, Han MS. Self-management needs of breast cancer survivors after treatment: results from a focus group interview. Cancer Nurs. 2020;43(1):78–85. PMID: 30148729. https://doi.org/10.1097/NCC.0000000000000641

18. Du J, Liang Q, Qi X, et al. Endoscopic nipple sparing mastectomy with immediate implant-based reconstruction versus breast conserving surgery: a long-term study. Sci Rep. 2017;7:45636. PMID: 28361955. PMCID: PMC5374499. https://doi.org/10.1038/srep45636

19. Aponte-Rueda ME, Saade Cárdenas RA, Saade Aure MJ. Endoscopic axillary dissection: a systematic review of the literature. Breast. 2009;18(3):150–158. PMID: 19493679. https://doi.org/10.1016/j.breast.2009.05.001

20. Malur S, Bechler J, Schneider A. Endoscopic axillary lymphadenectomy without prior liposuction in 100 patients with invasive breast cancer. Surg Laparosc Endosc Percutan Tech. 2001;11(1):38–42. PMID: 11269554.

21. Isik A, Soran A, Grasi A, Barry N, Sezgin E. Lymphedema after sentinel lymph node biopsy: who is at risk?. Lymphat Res Biol. 2022;20(2):160–163. PMID: 34191608. https://doi.org/10.1089/lrb.2020.0093

22. Chin K, Wärnberg F, Kovacs A, Olofsson Bagge R. Impact of surgical care bundle on surgical site infection after non-reconstructive breast cancer surgery: a single-centre retrospective comparative cohort study. Cancers (Basel). 2023;15(3):919. PMID: 36765876. PMCID: PMC9913200. https://doi.org/10.3390/cancers15030919

23. Langer I, Kocher T, Guller U, et al. Long-term outcomes of breast cancer patients after endoscopic axillary lymph node dissection: a prospective analysis of 52 patients. Breast Cancer Res Treat. 2005;90(1):85–91. PMID: 15770531. https://doi.org/10.1007/s10549-004-3268-6

24. Kozak D, Głowacka-Mrotek I, Nowikiewicz T, et al. Analysis of undesirable sequelae of sentinel node surgery in breast cancer patients - a prospective cohort study. Pathol Oncol Res. 2018;24(4):891–897. PMID: 28918579. PMCID: PMC6132823. https://doi.org/10.1007/s12253-017-0306-3


Review

For citations:


Akhmedov R.M., Konstantinova V.V., Vats A.B., Zhurov A.S., Semiletova Yu.V., Olchonova A.A., Belousov A.M., Bit-Sava E.M., Dashyan G.A. Modern Endoscopic Approaches to Video-Assisted Sentinel Lymph Node Biopsy and Axillary Lymph Node Dissection: A Review. Innovative Medicine of Kuban. 2024;(4):120-125. (In Russ.) https://doi.org/10.35401/2541-9897-2024-9-4-120-125

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ISSN 2541-9897 (Online)