Evidence map›Paper›PMID 40562955›Full record

ArticleSurgical endoscopy2025

Minimally invasive axillary lymph node dissection versus conventional axillary lymph node dissection: a comparative study on short-term efficacy in breast cancer.

Zongyan Li, Zuxiao Chen, Lina Wei, Xiaoyan Fu, Qingyu Yang, Ze Huang, Qiwen Liu, Zhijie Wu, Siyuan Lin, Haiyan Li

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Endoscopic Anatomy of the Breast Fascia System: Peripheral-to-Central Approach.Plastic and reconstructive surgery. Global open · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zongyan Li *Department of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Zuxiao Chen *Department of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Lina WeiDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Xiaoyan FuDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Qingyu YangDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Ze HuangDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Qiwen LiuDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Zhijie WuDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China.
Siyuan LinDepartment of Breast and Thyroid Surgery, The Affiliated Dongguan Songshan Lake Central Hospital, Guangdong Medical University, # No.1 Xianglong Road, Huangzhou DistrictDongguan, 523326, China. 516741944@qq.com.
Haiyan LiDepartment of Breast Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, # No.26 Yuancun Erheng Road, Guangzhou, 510650, China. lihy27@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-5541-3035

Funding

Dongguan Science and Technology Bureau 20211800904582National Natural Science Foundation of China No. 81602331Natural Science Foundation of Guangdong Province No. 2020A1515010424
6 · The paper itself

Abstract

backgroundThis study aims to compare the short-term clinical efficacy of minimally invasive axillary lymph node dissection (MIAD) versus conventional axillary lymph node dissection (CAD) in the treatment of breast cancer with positive axillary lymph nodes.

methodsWe performed a retrospective analysis of the clinical data of breast cancer patients who underwent MIAD and CAD in the Breast Surgery Department from January 2022 to August 2024. The primary outcomes assessed included surgical results, complications, post-operative upper limb function, and quality of life score for both groups.

resultsThis study enrolled 147 patients, with 71 undergoing MIAD (including 25 with endoscopic-assisted axillary lymph node dissection and 46 with robotic-assisted axillary lymph node dissection) and 76 undergoing CAD. Compared to CAD, the mean intraoperative blood loss in the MIAD was lower (5.63 ± 4.16 vs. 21.13 ± 6.81 ml, p < 0.001). Impressively, in patients with BMI ≥ 24 kg/m

conclusionsMIAD is a safe alternative to CAD, particularly for obese patients. It significantly reduces intraoperative blood loss while improving post-operative shoulder joint function and enhancing quality of life.

Indexed as

Breast NeoplasmsLymph Node ExcisionMinimally Invasive Surgical ProceduresRobotic Surgical ProceduresAdultAgedAxillaBlood Loss, SurgicalFemaleHumansMiddle AgedOperative TimePostoperative ComplicationsQuality of LifeRetrospective StudiesTreatment OutcomeEndoscopic-assisted axillary lymph node dissectionMinimally invasivePost-operative upper limb functionQuality of life scoreRobotic-assisted axillary lymph node dissectionShoulder range of motion

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.