[Primary plastic reconstructive surgery as a component of therapy for breast cancer].

We have carried out 281 primary plastic reconstructive operations (thoracodorsal flap--171; rectoabdominal flap--104) as a component of therapy for breast cancer in 1998-2004. Such indications as young age and the patient's desire to preserve the breast were considered. Radical intervention was followed by breast reconstruction.

[Diagnosis and treatment of breast cancer with central and medial localization using video-assisted thoracoscopic parasternal lymphadenectomy].

Since extended mastectomy after Urban involves an unjustifiably high level of trauma, this method has limited application. We have evolved a procedure of video-assisted thoracoscopic parasternal lymphadenectomy (VATPL). On completion of the experimental part using cadavers to work out the rationale for extent of surgery, clinical trials started.

[Biopsy of non-palpable tumors of the breast].

14 biopsies were performed in patients with non-palpable tumors of the breast with stereotaxic automated system (ABBI) and disposable "pistol-needle" ("Auto-Suture") whose needle-harpoon penetrates into pathologic focus under local anesthesia (four fold digital stereotaxic control guarantees the precision of biopsy). Non-palpable breast cancer in the tissue areas of 4, 7 and 11 mm in horizontal section was diagnosed in 3 patients. Biopsy was performed outpatiently, there were no complications.