{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:34:58Z","timestamp":1790354098523,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","funder":[{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["109-CCH-IRP-093"],"award-info":[{"award-number":["109-CCH-IRP-093"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["110-CCH-IRP-042"],"award-info":[{"award-number":["110-CCH-IRP-042"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["110-CCH-ICO-155"],"award-info":[{"award-number":["110-CCH-ICO-155"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["112-CCH-IRP-051"],"award-info":[{"award-number":["112-CCH-IRP-051"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["112-CCH-IRP-082"],"award-info":[{"award-number":["112-CCH-IRP-082"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["112-CCH-IRP-091"],"award-info":[{"award-number":["112-CCH-IRP-091"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007632","name":"Changhua Christian Hospital","doi-asserted-by":"publisher","award":["112-CCH-HCR-158"],"award-info":[{"award-number":["112-CCH-HCR-158"]}],"id":[{"id":"10.13039\/501100007632","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Breast Journal"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Endoscopic\u2010assisted breast surgery (EABS) provides better cosmetic outcomes for breast cancer patients with small incisions in an inconspicuous area. However, an extended incision and heavy assistant retraction are usually required for an adequate exposure for conventional axillary lymph node dissection (ALND). Therefore, we propose an innovative single\u2010port three\u2010dimensional endoscopic\u2010assisted ALND (S\u2010P 3D E\u2010ALND) to facilitate better visualization, and report its preliminary outcomes herein.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The surgical technique of the S\u2010P 3D E\u2010ALND, using either monopolar Endo Hook, LigaSure, or\n                    <jats:italic>Sonicision<\/jats:italic>\n                    , is described. A total of 11 breast cancer patients who received the S\u2010P 3D E\u2010ALND in a single institution from January 2023 to September 2023 were enrolled. The preliminary results of the S\u2010P 3D E\u2010ALND, including perioperative parameters, complication, and short\u2010term oncological outcomes, were retrospectively analyzed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Endoscopic breast and axillary procedures were conducted via a single axillary incision. The primary success rate of the S\u2010P 3D E\u2010ALND was 100% without a conversion to open surgery. The median operative time for the S\u2010P 3D E\u2010ALND was 39 (IQR\u2009=\u200928, 49) minutes. Average blood loss during E\u2010ALND was 3 (IQR\u2009=\u20093, 5) mL. The median number of harvested LN was 10 (IQR\u2009=\u20098, 11) LNs. During the median follow\u2010up time of 7\u2009months, there was no complication, lymphedema, shoulder stiffness, or chronic arm numbness found. None of the patients reported locoregional recurrence, distant metastasis, or mortality.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The S\u2010P 3D E\u2010ALND can serve as an alternative approach for ALND in breast cancer patients undergoing EABS, as our findings indicate it results in only minor complications.\n                  <\/jats:p>","DOI":"10.1155\/tbj\/6319218","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T09:50:47Z","timestamp":1733305847000},"source":"Crossref","is-referenced-by-count":5,"title":["Single\u2010Port Three\u2010Dimensional Endoscopic\u2010Assisted Axillary Lymph Node Dissection (S\u2010P 3D E\u2010ALND): Surgical Technique and Preliminary 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Endoscopy-Assisted Partial Mastectomy: A Preliminary Report of Six Cases","volume":"11","author":"Tamaki Y.","year":"2001","journal-title":"Surgical Laparoscopy Endoscopy and Percutaneous Techniques"},{"key":"e_1_2_16_3_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09950-8"},{"key":"e_1_2_16_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.02.020"},{"key":"e_1_2_16_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-010-1258-4"},{"key":"e_1_2_16_6_2","article-title":"Association of Long-Term Oncologic Prognosis With Minimal Access Breast Surgery vs Conventional Breast Surgery","volume":"157","author":"Wan A.","year":"2022","journal-title":"JAMA Surgery"},{"key":"e_1_2_16_7_2","doi-asserted-by":"crossref","first-page":"1677","DOI":"10.21037\/gs-21-223","article-title":"Near-Infrared Laparoscopy With Indocyanine Green for Axillary Sentinel Lymph Node Biopsy in Early Breast Cancer: Preliminary Experience of a Single Unit","volume":"10","author":"Yang 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Periareolar Incision Combined With Non-Lipolytic Suspension-Type Mastoscopy","volume":"13","author":"Liu J.","year":"2023","journal-title":"Scientific Reports"},{"key":"e_1_2_16_15_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09964-2"},{"key":"e_1_2_16_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2013.09.022"},{"key":"e_1_2_16_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.10.031"},{"key":"e_1_2_16_18_2","article-title":"Single-Port 3-dimensional Videoscope-Assisted Endoscopic Nipple-Sparing Mastectomy in the Management of Breast Cancer","volume":"7","author":"Lai H. 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