LymphedemaV1, Main, Exploration, bibRecord, 000459

Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series

Identifieur interne : 000459 ( Main/Exploration ); précédent : 000458; suivant : 000460

Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series

Auteurs : G. Militello ; P. De Marco ; N. Falco ; K. Kabhuli ; A. Mascolino ; L. Licari ; R. Tutino ; G. Cocorullo ; G. Gulotta

Source :

Il Giornale di Chirurgia [ 0391-9005 ] ; 2017.

RBID : PMC:5505484

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Femelle, Humains, Lymphadénectomie (instrumentation), Métastase lymphatique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie).
MESH :
- anatomopathologie : Tumeurs du sein.
- instrumentation : Adulte, Adulte d'âge moyen, Aisselle, Femelle, Humains, Lymphadénectomie, Métastase lymphatique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Axilla, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Humans, Lymph Node Excision (instrumentation), Lymphatic Metastasis, Middle Aged.
MESH :
- instrumentation : Lymph Node Excision.
- pathology : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Axilla, Female, Humans, Lymphatic Metastasis, Middle Aged.

Abstract

Background

The seroma is one of the most common complications in the axillary lymph nodal dissection (different surgical approaches have been tried to reduce the seroma incidence). In our study we evaluate the outcome of patients using or not the ultrasonic scalpel (Harmonic scalpel) according to a standardized surgical technique.

Patients and Methods

From January 2011 to December 2015 120 patients underwent axillary dissection for breast cancer. Patients were divided in two groups: patients belonging to the first group underwent Harmonic scalpel dissection and patients belonging to the second group underwent classical dissection. Each group consisted of 60 patients. Quadrantectomy (QUAD) was performed in 54 patients, 66 women underwent mastectomy. In all patients axillary dissection included the I, II and III level. We compared two groups in terms of: time of surgery, hematoma, drainage volume, days of sealing drainage, seroma formation, number of post-seroma aspirations, upper limb lymphedema, wound infections, post-operative pain.

Results

Statistically significant results were obtained in terms of the total volume of the breast and axillary drainage in the two techniques. There were no significant differences in the two samples in terms of operative time incidence of seroma, post-operative hematoma, wound infection, and lymphedema of the upper limb.

Conclusion

The small number of cases did not allow us to reach definitive conclusions. The use of Harmonic scalpel seems to show smaller incidence of seroma and reduction of the amount of both breast and axillary drainages. Further studies are needed to define the real advantage in terms of cost benefit of using these devices in the axillary surgery.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505484

DOI: 10.11138/gchir/2016.37.6.262
PubMed: 28350973
PubMed Central: 5505484

Affiliations:

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series</title>
<author><name sortKey="Militello, G" sort="Militello, G" uniqKey="Militello G" first="G." last="Militello">G. Militello</name>
</author>
<author><name sortKey="De Marco, P" sort="De Marco, P" uniqKey="De Marco P" first="P." last="De Marco">P. De Marco</name>
</author>
<author><name sortKey="Falco, N" sort="Falco, N" uniqKey="Falco N" first="N." last="Falco">N. Falco</name>
</author>
<author><name sortKey="Kabhuli, K" sort="Kabhuli, K" uniqKey="Kabhuli K" first="K." last="Kabhuli">K. Kabhuli</name>
</author>
<author><name sortKey="Mascolino, A" sort="Mascolino, A" uniqKey="Mascolino A" first="A." last="Mascolino">A. Mascolino</name>
</author>
<author><name sortKey="Licari, L" sort="Licari, L" uniqKey="Licari L" first="L." last="Licari">L. Licari</name>
</author>
<author><name sortKey="Tutino, R" sort="Tutino, R" uniqKey="Tutino R" first="R." last="Tutino">R. Tutino</name>
</author>
<author><name sortKey="Cocorullo, G" sort="Cocorullo, G" uniqKey="Cocorullo G" first="G." last="Cocorullo">G. Cocorullo</name>
</author>
<author><name sortKey="Gulotta, G" sort="Gulotta, G" uniqKey="Gulotta G" first="G." last="Gulotta">G. Gulotta</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">28350973</idno>
<idno type="pmc">5505484</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505484</idno>
<idno type="RBID">PMC:5505484</idno>
<idno type="doi">10.11138/gchir/2016.37.6.262</idno>
<date when="2017">2017</date>
<idno type="wicri:Area/Pmc/Corpus">002E07</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002E07</idno>
<idno type="wicri:Area/Pmc/Curation">002E06</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002E06</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000224</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000224</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="wicri:Area/PubMed/Corpus">000277</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000277</idno>
<idno type="wicri:Area/PubMed/Curation">000277</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000277</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000277</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000277</idno>
<idno type="wicri:Area/Ncbi/Merge">008F19</idno>
<idno type="wicri:Area/Ncbi/Curation">008F19</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">008F19</idno>
<idno type="wicri:doubleKey">0391-9005:2017:Militello G:is:it:really</idno>
<idno type="wicri:Area/Main/Merge">000459</idno>
<idno type="wicri:Area/Main/Curation">000459</idno>
<idno type="wicri:Area/Main/Exploration">000459</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series</title>
<author><name sortKey="Militello, G" sort="Militello, G" uniqKey="Militello G" first="G." last="Militello">G. Militello</name>
</author>
<author><name sortKey="De Marco, P" sort="De Marco, P" uniqKey="De Marco P" first="P." last="De Marco">P. De Marco</name>
</author>
<author><name sortKey="Falco, N" sort="Falco, N" uniqKey="Falco N" first="N." last="Falco">N. Falco</name>
</author>
<author><name sortKey="Kabhuli, K" sort="Kabhuli, K" uniqKey="Kabhuli K" first="K." last="Kabhuli">K. Kabhuli</name>
</author>
<author><name sortKey="Mascolino, A" sort="Mascolino, A" uniqKey="Mascolino A" first="A." last="Mascolino">A. Mascolino</name>
</author>
<author><name sortKey="Licari, L" sort="Licari, L" uniqKey="Licari L" first="L." last="Licari">L. Licari</name>
</author>
<author><name sortKey="Tutino, R" sort="Tutino, R" uniqKey="Tutino R" first="R." last="Tutino">R. Tutino</name>
</author>
<author><name sortKey="Cocorullo, G" sort="Cocorullo, G" uniqKey="Cocorullo G" first="G." last="Cocorullo">G. Cocorullo</name>
</author>
<author><name sortKey="Gulotta, G" sort="Gulotta, G" uniqKey="Gulotta G" first="G." last="Gulotta">G. Gulotta</name>
</author>
</analytic>
<series><title level="j">Il Giornale di Chirurgia</title>
<idno type="ISSN">0391-9005</idno>
<idno type="eISSN">1971-145X</idno>
<imprint><date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (instrumentation)</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (instrumentation)</term>
<term>Métastase lymphatique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Métastase lymphatique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The seroma is one of the most common complications in the axillary lymph nodal dissection (different surgical approaches have been tried to reduce the seroma incidence). In our study we evaluate the outcome of patients using or not the ultrasonic scalpel (Harmonic scalpel) according to a standardized surgical technique.</p>
</sec>
<sec><title>Patients and Methods</title>
<p>From January 2011 to December 2015 120 patients underwent axillary dissection for breast cancer. Patients were divided in two groups: patients belonging to the first group underwent Harmonic scalpel dissection and patients belonging to the second group underwent classical dissection. Each group consisted of 60 patients. Quadrantectomy (QUAD) was performed in 54 patients, 66 women underwent mastectomy. In all patients axillary dissection included the I, II and III level. We compared two groups in terms of: time of surgery, hematoma, drainage volume, days of sealing drainage, seroma formation, number of post-seroma aspirations, upper limb lymphedema, wound infections, post-operative pain.</p>
</sec>
<sec><title>Results</title>
<p>Statistically significant results were obtained in terms of the total volume of the breast and axillary drainage in the two techniques. There were no significant differences in the two samples in terms of operative time incidence of seroma, post-operative hematoma, wound infection, and lymphedema of the upper limb.</p>
</sec>
<sec><title>Conclusion</title>
<p>The small number of cases did not allow us to reach definitive conclusions. The use of Harmonic scalpel seems to show smaller incidence of seroma and reduction of the amount of both breast and axillary drainages. Further studies are needed to define the real advantage in terms of cost benefit of using these devices in the axillary surgery.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Cocorullo, G" sort="Cocorullo, G" uniqKey="Cocorullo G" first="G." last="Cocorullo">G. Cocorullo</name>
<name sortKey="De Marco, P" sort="De Marco, P" uniqKey="De Marco P" first="P." last="De Marco">P. De Marco</name>
<name sortKey="Falco, N" sort="Falco, N" uniqKey="Falco N" first="N." last="Falco">N. Falco</name>
<name sortKey="Gulotta, G" sort="Gulotta, G" uniqKey="Gulotta G" first="G." last="Gulotta">G. Gulotta</name>
<name sortKey="Kabhuli, K" sort="Kabhuli, K" uniqKey="Kabhuli K" first="K." last="Kabhuli">K. Kabhuli</name>
<name sortKey="Licari, L" sort="Licari, L" uniqKey="Licari L" first="L." last="Licari">L. Licari</name>
<name sortKey="Mascolino, A" sort="Mascolino, A" uniqKey="Mascolino A" first="A." last="Mascolino">A. Mascolino</name>
<name sortKey="Militello, G" sort="Militello, G" uniqKey="Militello G" first="G." last="Militello">G. Militello</name>
<name sortKey="Tutino, R" sort="Tutino, R" uniqKey="Tutino R" first="R." last="Tutino">R. Tutino</name>
</noCountry>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000459 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000459 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:5505484
   |texte=   Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:28350973" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024

Serveur d'exploration sur le lymphœdème

Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series

Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.