Background: Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects\nof conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume\nmore time. The aim of the study was to determine whether immediate liposuction after tumescent solution\ninjection to the axilla could shorten the total time of EALND.\nMethods: Fifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction\nmethod (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). The operation\ntime, cosmetic result, drainage amount, and hospitalization time of the two groups were compared.\nResults: The median EALND operation time of TLM group and ILM group were 68 and 46 min, respectively, the\ndifference was significant (P < 0.05); the median cosmetic results of the two groups were 6.6 and 6.4, respectively;\nthe median drainage amount of the two groups were 366 and 385 ml, respectively; the hospitalization time of\nthe two groups were 15 and 16 days, respectively. For the last three measures, no significant difference was\nconfirmed (P > 0.05).\nConclusions: Our work suggests immediate liposuction could shorten the endoscopic axillary lymphadenectomy\nprocess, and this method would not compromise the operation results. However, due to the limitations of the\nresearch, more work needs to be done to prove the availability and feasibility of immediate liposuction.
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