目的　分析电视乳腔镜乳腺癌腋窝淋巴结清扫的临床治疗效果。方法　对 86例乳腺癌患者行腋窝脂肪抽吸后 ,采用乳腔镜施行腋窝淋巴结清扫。结果　平均手术时间 5 5 3min。前 10例手术时间平均 10 3 2min ,后 76例平均 4 3 7min ,两者相差显著 (P <0 0 1)。术中出血很少 ,无一例因术中不易控制的出血而中转常规开放手术。平均每例取出淋巴结 15 3个 ,37例病理显示腋窝淋巴结受累 ,平均受累 3 6个。所有患者术中、术后均未出现明显并发症。术后平均随访 10 4个月 ,随访期间患者肩关节活动均良好 ,上肢无肿胀 ,无腋窝复发或套针处种植出现。结论　基于脂肪抽吸的乳腔镜腋窝淋巴结清扫手术 ,临床可行 ,不仅微创又保留功能和美观 ,生活质量提高 ,患者满意。 Objective To analyze the clinical effect of axillary lymph node dissection in breast cancer with video-assisted laparoscopy. Methods 86 cases of breast cancer patients underwent axillary fat aspiration, the use of laparoscopic axillary lymph node dissection. Results The average operation time was 553min. The operation time of the first 10 cases was 10 3 2min and the average of 76 cases was 4 3 7min, the difference was significant (P <0.01). Intraoperative bleeding is very small, no one due to intraoperative non-controlled bleeding and transit conventional open surgery. An average of 15 3 lymph nodes were removed in each case. Pathological examination showed axillary lymph node involvement in 37 cases, with an average of 36. All patients had no obvious intraoperative and postoperative complications. The patients were followed up for an average of 10 4 months. During the follow-up period, patients had good shoulder activities, no upper limb swelling, no axillary recurrence or trocar implantation. Conclusion Liposuction-based laparoscopic axillary lymph node dissection is clinically feasible. It is not only minimally invasive, but also retains function and beauty, improves the quality of life, and satisfies patients.