A technic for total mastectomy with complete axillary dissection has been described. The procedure utilizes division of the pectoralis major muscle between its clavicular and sternal portions, perservation of its innervation, and reconstruction after completion of the dissection. The pectoralis minor muscle is resected. This modification facilitates a thorough axillary dissection, particularly at the apex, while preserving the cosmetic and functional benefits of the Patey operation.

译文

已经描述了一种完全腋窝清扫全乳房切除术的技术。该程序利用胸大肌在锁骨和胸骨部分之间的划分,保留其神经支配,并在解剖完成后进行重建。胸小肌被切除。这种修饰有助于彻底的腋窝解剖,尤其是在顶点处,同时保留了Patey手术的美容和功能益处。

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