| Objective: To explore the different effects of different surgical incisions on the success rate and postoperative recovery in sentinel lymph node biopsy of invasive breast cancer. Methods: The observation period was from January 2021 to October 2023. The study subjects were 66 patients with invasive breast cancer admitted to the hospital during the above period. The grouping mode was the difference of incision methods, and 33 patients were set up, including the control group - the double incision operation between breast and axillary transverse, and the observation group - the single incision operation between breast and axillary transverse. The differences between the groups were analyzed from the sentinel lymph node detection rate, the risk of complications, and the recovery of upper limb function after surgery. Result: After comparison, the detection rates of sentinel lymph nodes in the control group and the observation group were 96.67% and 93.94%, respectively, with no statistically significant difference between the groups (P>0.05). The observation group had 20 and 11 cases of sentinel lymph node negative and positive detection; There were 20 and 12 cases in the control group who were negative and positive. Sentinel lymph node negative: The incidence of subcutaneous fluid accumulation in the observation group was 5.00% (1/20), while the incidence in the control group was 30.00% (6/20), with a statistically significant difference between the groups (P<0.05); Sentinel lymph node positivity: The incidence of subcutaneous fluid accumulation in the observation group was 27.27% (3/11), while the incidence in the control group was 25.00% (3/12). There was no statistically significant difference between the groups (P>0.05). Before surgery, there was no significant difference in the upper arm circumference, shoulder joint range of motion, and shoulder joint function score indicators between the groups (P>0.05). After 6 months of surgery, the observation group performed more satisfactorily in dimensions such as upper arm circumference, shoulder joint range of motion, and shoulder joint function score. Compared with the control group, the differences were prominent (P<0.05). Conclusion: In patients with invasive breast cancer, a single transverse incision from breast to axilla can effectively avoid the risk of complications such as subcutaneous hydrops, and the upper limb function can be recovered early after surgery; When sentinel lymph nodes are positive, there is no significant difference in the impact of the two surgical incisions on postoperative complications. |
