Application Experience of Monopolar Low-Temperature Plasma Knife in Unilateral Breast-Conserving Surgery

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Abstract

The Purpose of the paper is to explore the application of monopolar low-temperature plasma knife in unilateral breast-conserving surgery. Forty patients with breast cancer admitted to First People's Hospital of Nantong from April 2023 to August 2023 were selected. They were randomly divided into a control group and an experimental group, with 20 cases in each group. The control group underwent surgery using a high-frequency electric knife, while the experimental group underwent surgery using a monopolar low-temperature plasma knife. The clinical indicators of the two groups were compared, including operative time, intraoperative blood loss, postoperative 24-hour drainage volume, duration of axillary drainage tube placement, intraoperative incidence of secondary vascular injury, postoperative wound healing, and incidence of postoperative complications. Results were as follows. The operative time and duration of axillary drainage tube placement in the experimental group were shorter than those in the control group, P<0.05. The intraoperative blood loss and postoperative 24-hour drainage volume in the experimental group were less than those in the control group, P<0.05. The experimental group had a lower incidence of intraoperative secondary vascular injury than the control group, P<0.05. The postoperative wound healing in the experimental group was better than that in the control group, P<0.05. The experimental group had a lower incidence of postoperative complications than the control group, P<0.05. It is concluded that the application of a monopolar low-temperature plasma knife in breast cancer-modified radical mastectomy can simplify the surgical procedure, reduce operative time and intraoperative blood loss, facilitate early removal of drainage tubes, shorten the tube retention time, improve patients' quality of life, and is worthy of adoption and application.
单极低温等离子刀在单侧保乳手术中的应用体会
探讨单极低温等离子刀在单侧保乳手术中的应用。选取2023年4月至2023年8月南通市第一人民医院收治的乳腺癌患者40例。随机分为对照组和实验组,每组各20例。对照组采用高频电刀手术,实验组采用单极低温等离子刀手术。比较两组患者的临床指标:手术时间、术中出血量、术后24小时引流量、腋窝引流管放置时间、术中继发性血管损伤发生率、术后创面愈合情况、术后并发症发生率。结果如下:实验组腋窝引流管置入手术时间和持续时间均短于对照组,P<0.05。实验组术中出血量及术后24小时引流量均小于对照组,P<0.05。实验组术中继发性血管损伤发生率低于对照组,P<0.05。实验组术后创面愈合优于对照组,P<0.05。实验组术后并发症发生率低于对照组,P<0.05。综上所述,单极低温等离子刀应用于乳腺癌改良根治术可简化手术流程,减少手术时间及术中出血量,利于早期拔除引流管,缩短引流管留置时间,提高患者生活质量,值得采用和应用。
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