A randomized controlled study comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer
Identifieur interne : 001494 ( Main/Exploration ); précédent : 001493; suivant : 001495A randomized controlled study comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer
Auteurs : Tomoko Seki ; Tetsu Hayashida ; Maiko Takahashi ; Hiromitsu Jinno [Japon] ; Yuko KitagawaSource :
- SpringerPlus [ 2193-1801 ] ; 2016.
Abstract
This study aimed to compare the efficacy and safety of the newest bipolar vessel sealing system (BVSS; LigaSure™ Small Jaw) to that of conventional technique in axillary dissection.
Sixty-one patients with breast cancer were randomized to a conventional dissection surgical technique (CONV group; n = 30) by scalpel and monopolar cautery or that using a vessel sealing system (BVSS group; n = 31).
There was a significant difference between both groups in the mean number of days until drain removal (6.4 ± 2.9 vs. 8.2 ± 3.8 days;
Our results suggest that BVSS is a more effective device when compared to the conventional techniques in axillary dissection.
Url:
DOI: 10.1186/s40064-016-2710-7
PubMed: 27398279
PubMed Central: 4937003
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A randomized controlled study comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer</title><author><name sortKey="Seki, Tomoko" sort="Seki, Tomoko" uniqKey="Seki T" first="Tomoko" last="Seki">Tomoko Seki</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Hayashida, Tetsu" sort="Hayashida, Tetsu" uniqKey="Hayashida T" first="Tetsu" last="Hayashida">Tetsu Hayashida</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Takahashi, Maiko" sort="Takahashi, Maiko" uniqKey="Takahashi M" first="Maiko" last="Takahashi">Maiko Takahashi</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Jinno, Hiromitsu" sort="Jinno, Hiromitsu" uniqKey="Jinno H" first="Hiromitsu" last="Jinno">Hiromitsu Jinno</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Surgery, Teikyo University, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Teikyo University, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Kitagawa, Yuko" sort="Kitagawa, Yuko" uniqKey="Kitagawa Y" first="Yuko" last="Kitagawa">Yuko Kitagawa</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27398279</idno><idno type="pmc">4937003</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4937003</idno><idno type="RBID">PMC:4937003</idno><idno type="doi">10.1186/s40064-016-2710-7</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000E61</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E61</idno><idno 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Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Hayashida, Tetsu" sort="Hayashida, Tetsu" uniqKey="Hayashida T" first="Tetsu" last="Hayashida">Tetsu Hayashida</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Takahashi, Maiko" sort="Takahashi, Maiko" uniqKey="Takahashi M" first="Maiko" last="Takahashi">Maiko Takahashi</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Jinno, Hiromitsu" sort="Jinno, Hiromitsu" uniqKey="Jinno H" first="Hiromitsu" last="Jinno">Hiromitsu Jinno</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Surgery, Teikyo University, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Teikyo University, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Kitagawa, Yuko" sort="Kitagawa, Yuko" uniqKey="Kitagawa Y" first="Yuko" last="Kitagawa">Yuko Kitagawa</name><affiliation><nlm:aff id="Aff1">Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</nlm:aff><wicri:noCountry code="subfield">Tokyo 160-8582 Japan</wicri:noCountry></affiliation></author></analytic><series><title level="j">SpringerPlus</title><idno type="eISSN">2193-1801</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>This study aimed to compare the efficacy and safety of the newest bipolar vessel sealing system (BVSS; LigaSure™ Small Jaw) to that of conventional technique in axillary dissection.</p></sec><sec><title>Methods</title><p>Sixty-one patients with breast cancer were randomized to a conventional dissection surgical technique (CONV group; n = 30) by scalpel and monopolar cautery or that using a vessel sealing system (BVSS group; n = 31).</p></sec><sec><title>Results</title><p>There was a significant difference between both groups in the mean number of days until drain removal (6.4 ± 2.9 vs. 8.2 ± 3.8 days; <italic>P</italic> value = 0.033), and the mean total volume of drainage fluid (365.3 ± 242.2 vs. 625.1 ± 446.6 mL; <italic>P</italic> value = 0.009). The incidence of seroma was similar in both groups (43.3 vs. 37.9 %; <italic>P</italic> value = 0.673). There was no statistically significant difference in axillary dissection operating time (66 vs. 70 min; <italic>P</italic> value = 0.371), or the mean volume of blood loss (18.2 ± 31.1 vs. 20.6 ± 26.3 mL; <italic>P</italic> value = 0.663).</p></sec><sec><title>Conclusions</title><p>Our results suggest that BVSS is a more effective device when compared to the conventional techniques in axillary dissection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Agrawal, A" uniqKey="Agrawal A">A Agrawal</name></author><author><name sortKey="Ayantunde, Aa" uniqKey="Ayantunde A">AA Ayantunde</name></author><author><name sortKey="Cheung, Kl" uniqKey="Cheung K">KL Cheung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burak, We" uniqKey="Burak W">WE Burak</name></author><author><name sortKey="Goodman, Ps" uniqKey="Goodman P">PS Goodman</name></author><author><name sortKey="Young, Dc" uniqKey="Young 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Hirooka</name></author><author><name sortKey="Ikeguchi, M" uniqKey="Ikeguchi M">M Ikeguchi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Hayashida, Tetsu" sort="Hayashida, Tetsu" uniqKey="Hayashida T" first="Tetsu" last="Hayashida">Tetsu Hayashida</name><name sortKey="Kitagawa, Yuko" sort="Kitagawa, Yuko" uniqKey="Kitagawa Y" first="Yuko" last="Kitagawa">Yuko Kitagawa</name><name sortKey="Seki, Tomoko" sort="Seki, Tomoko" uniqKey="Seki T" first="Tomoko" last="Seki">Tomoko Seki</name><name sortKey="Takahashi, Maiko" sort="Takahashi, Maiko" uniqKey="Takahashi M" first="Maiko" last="Takahashi">Maiko Takahashi</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Jinno, Hiromitsu" sort="Jinno, Hiromitsu" uniqKey="Jinno H" first="Hiromitsu" last="Jinno">Hiromitsu 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