Method of videothoracoscopic parasternal lymphadenectomy in the diagnosis and treatment of breast cancer

The videothoracoscopic parasternal lymphade­nectomia method is developed. The adequacy of the removed tissue volume in the videothoracoscopic parasternal lymphadenectomia method is proved during the previously performed experiment on the corpses. Up to 1998 the authors performed 120 videotho­racoscopic paracternal lymphadenectomias in patients aged 27 to 73. The manifestation of the pain syndrome, the amount of injected narcotic analgetics, the hospitalization terms of patients, the number of intra- and postoperative complications, the results of cardiointervalography and pneumotachometry after the videothoracoscopic parasternal lymphadenectomia proved to be better than after similar interventions performed by the traditional (open) method preserving the removed tissue volume. The videothoracoscopic parasternal lymphadenectomia is a highly effective minimally thraumatic method in the diagnosis and treatment of the parasternal collector damaged by metastases which in the surgical treatment of the breast cancer of the central and medial localizations can be recommended as a choice method.