Axillary lymphadenectomy for breast cancer. A randomized controlled trial comparing a bipolar vessel sealing system to the conventional technique

作者：Nespoli Luca^*; Antolini Laura; Stucchi Claudia; Nespoli Angelo; Valsecchi Maria Grazia; Gianotti Luca

来源：Breast, 2012, 21(6): 739-745.

DOI：10.1016/j.breast.2012.08.003

• Axillary lymphadenectomy
• Seroma
• Lymphorrhea
• Bipolar vessel sealing system
• Surgery
• Breast cancer

Aim: To compare safety and efficacy of a bipolar vessel sealing system (BVSS) to the conventional technique in axillary node dissection. %26lt;br%26gt;Methods: 116 women with breast cancer were randomized to conventional node dissection surgical technique (control; n = 58) by scalpel and monopolar cautery or using an electrothermal BVSS (study group; 11 = 58). %26lt;br%26gt;Results: The median (range) total volume of fluid collected by drain and aspirations was 305 (30-1420) mL in the study group and 335 (80-1070) mL in the control group (p = 0.325). The median (range) total volume of lymph collected by percutaneous aspirations was 207.5 (40-1050) mL in the study group and 505 (270-705) mL in the control group (p = 0.010). The incidence of seroma was similar in both groups (p = 0.845). The axillary drain was removed earlier in the study group than in controls (p = 0.046). %26lt;br%26gt;Conclusion: The use of a BVSS offers marginal advantages when compared to the conventional technique.

• 出版日期2012-12