Surgical Advantage of Ultrasonically Activated Devices During Axillary Lymph Node Dissection for Breast Cancer

IF 0.2 4区医学 Q4 SURGERY

International surgery Pub Date : 2021-01-01 DOI:10.9738/intsurg-d-20-00032.1

G. Kutomi, H. Shima, H. Maeda, Fukino Satomi, Asaka Wada, Kiminori Sato, Toru Mizuguchi, I. Takemasa

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引用次数: 0

Abstract

Axillary dissection is the gold standard for axillary lymph node metastasis in breast cancer patients. We compared surgical outcomes between ultrasonically activated devices (USADs) and thermal scalpel (TS) during axillary lymph node dissection in breast cancer patients. We conducted a retrospective analysis for 73 patients using TS between June 2012 to May 2016 and 63 patients using USADs between June 2016 to January 2019 in the breast cancer patients who received axillary dissection. Surgical outcomes were compared among the groups statistically. Median operative time in the USAD group was significantly shorter than in the TS group (136 versus 182 minutes, P < 0.001). Intraoperative blood loss in the USAD group was also significantly lower than in the TS group (35 versus 120 mL, P < 0.001). Furthermore, the total drainage discharge in the USAD group was also significantly lower than in the TS group (570 versus 700 mL, P = 0.016). The lymphedema frequency in the USAD group was significantly less than in the TS groups (1 of 63 versus 7 of 73, P = 0.0296). The USADs could improve surgical outcomes, such as lymphedema, for axillary dissection of the breast cancer surgery compared with TS.

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超声激活装置在乳腺癌症腋窝淋巴结切除术中的手术优势

腋窝清扫是乳腺癌患者腋窝淋巴结转移的金标准。我们比较了超声激活装置(USADs)和热刀(TS)在乳腺癌患者腋窝淋巴结清扫术中的手术效果。我们回顾性分析了2012年6月至2016年5月期间使用TS的73例患者和2016年6月至2019年1月期间使用USADs的63例接受腋窝清扫的乳腺癌患者。对两组手术结果进行统计学比较。USAD组的中位手术时间明显短于TS组(136分钟vs 182分钟，P < 0.001)。USAD组术中出血量也显著低于TS组(35 mL vs 120 mL, P < 0.001)。此外，USAD组的总引流流量也显著低于TS组(570 mL vs 700 mL, P = 0.016)。USAD组淋巴水肿发生率明显低于TS组(63 / 1 vs 73 / 7, P = 0.0296)。与TS相比，USADs可以改善乳腺癌腋窝夹层手术的淋巴水肿等手术效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International surgery 医学-外科

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： International Surgery is the Official Journal of the International College of Surgeons. International Surgery has been published since 1938 and has an important position in the global scientific and medical publishing field. The Journal publishes only open access manuscripts. Advantages and benefits of open access publishing in International Surgery include: -worldwide internet transmission -prompt peer reviews -timely publishing following peer review approved manuscripts -even more timely worldwide transmissions of unedited peer review approved manuscripts (“online first”) prior to having copy edited manuscripts formally published. Non-approved peer reviewed manuscript authors have the opportunity to update and improve manuscripts prior to again submitting for peer review.