Axillary lymphadenectomy for breast cancer in elderly patients and fibrin glue
Identifieur interne : 005F77 ( Ncbi/Curation ); précédent : 005F76; suivant : 005F78Axillary lymphadenectomy for breast cancer in elderly patients and fibrin glue
Auteurs : Giovanni Docimo [Italie] ; Paolo Limongelli [Italie] ; Giovanni Conzo [Italie] ; Simona Gili [Italie] ; Alfonso Bosco [Italie] ; Antonia Rizzuto [Italie] ; Vincenzo Amoroso [Italie] ; Salvatore Marsico [Italie] ; Nicola Leone [Italie] ; Antonio Esposito [Italie] ; Chiara Vitiello [Italie] ; Landino Fei [Italie] ; Domenico Parmeggiani [Italie] ; Ludovico Docimo [Italie]Source :
- BMC Surgery [ 1471-2482 ] ; 2013.
Abstract
Axillary lymphadenectomy or sentinel biopsy is integral part of breast cancer treatment, yet seroma formation occurs in 15-85% of cases. Among methods employed to reduce seroma magnitude and duration, fibrin glue has been proposed in numerous studies with controversial results.
Thirty patients over 60 years underwent quadrantectomy or mastectomy with level I/II axillary lymphadenectomy; a suction drain was fitted in all patients. Fibrin glue spray were applied to the axillary fossa in 15 patients; the other 15 patients were treated with harmonic scalpel.
Suction drainage was removed between post-operative Days 3 and 4. Seroma magnitude and duration were not significant in patients receiving fibrin glue compared with the harmonic scalpel group.
Use of fibrin glue does not always prevent seroma formation, but can reduce seroma magnitude, duration and necessary evacuative punctures.
Url:
DOI: 10.1186/1471-2482-13-S2-S8
PubMed: 24266959
PubMed Central: 3851152
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Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Vitiello, Chiara" sort="Vitiello, Chiara" uniqKey="Vitiello C" first="Chiara" last="Vitiello">Chiara Vitiello</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. 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Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Docimo, Ludovico" sort="Docimo, Ludovico" uniqKey="Docimo L" first="Ludovico" last="Docimo">Ludovico Docimo</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. 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Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Limongelli, Paolo" sort="Limongelli, Paolo" uniqKey="Limongelli P" first="Paolo" last="Limongelli">Paolo Limongelli</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Conzo, Giovanni" sort="Conzo, Giovanni" uniqKey="Conzo G" first="Giovanni" last="Conzo">Giovanni Conzo</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Gili, Simona" sort="Gili, Simona" uniqKey="Gili S" first="Simona" last="Gili">Simona Gili</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Bosco, Alfonso" sort="Bosco, Alfonso" uniqKey="Bosco A" first="Alfonso" last="Bosco">Alfonso Bosco</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Rizzuto, Antonia" sort="Rizzuto, Antonia" uniqKey="Rizzuto A" first="Antonia" last="Rizzuto">Antonia Rizzuto</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Medical and Surgical Science, Magna Grecia University, Catanzaro, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical and Surgical Science, Magna Grecia University, Catanzaro</wicri:regionArea><wicri:noRegion>Catanzaro</wicri:noRegion></affiliation></author><author><name sortKey="Amoroso, Vincenzo" sort="Amoroso, Vincenzo" uniqKey="Amoroso V" first="Vincenzo" last="Amoroso">Vincenzo Amoroso</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Marsico, Salvatore" sort="Marsico, Salvatore" uniqKey="Marsico S" first="Salvatore" last="Marsico">Salvatore Marsico</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Leone, Nicola" sort="Leone, Nicola" uniqKey="Leone N" first="Nicola" last="Leone">Nicola Leone</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Esposito, Antonio" sort="Esposito, Antonio" uniqKey="Esposito A" first="Antonio" last="Esposito">Antonio Esposito</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Vitiello, Chiara" sort="Vitiello, Chiara" uniqKey="Vitiello C" first="Chiara" last="Vitiello">Chiara Vitiello</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Fei, Landino" sort="Fei, Landino" uniqKey="Fei L" first="Landino" last="Fei">Landino Fei</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Parmeggiani, Domenico" sort="Parmeggiani, Domenico" uniqKey="Parmeggiani D" first="Domenico" last="Parmeggiani">Domenico Parmeggiani</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Docimo, Ludovico" sort="Docimo, Ludovico" uniqKey="Docimo L" first="Ludovico" last="Docimo">Ludovico Docimo</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, Department of Surgery, Second University of Naples, Via S. Pansini 5, 80131, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Surgery</title><idno type="eISSN">1471-2482</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Axillary lymphadenectomy or sentinel biopsy is integral part of breast cancer treatment, yet seroma formation occurs in 15-85% of cases. Among methods employed to reduce seroma magnitude and duration, fibrin glue has been proposed in numerous studies with controversial results.</p></sec><sec><title>Methods</title><p>Thirty patients over 60 years underwent quadrantectomy or mastectomy with level I/II axillary lymphadenectomy; a suction drain was fitted in all patients. Fibrin glue spray were applied to the axillary fossa in 15 patients; the other 15 patients were treated with harmonic scalpel.</p></sec><sec><title>Results</title><p>Suction drainage was removed between post-operative Days 3 and 4. Seroma magnitude and duration were not significant in patients receiving fibrin glue compared with the harmonic scalpel group.</p></sec><sec><title>Conclusions</title><p>Use of fibrin glue does not always prevent seroma formation, but can reduce seroma magnitude, duration and necessary evacuative punctures.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Woodworth, Pa" uniqKey="Woodworth P">PA Woodworth</name></author><author><name sortKey="Mcboyle, Mf" uniqKey="Mcboyle M">MF McBoyle</name></author><author><name sortKey="Helmer, Sd" uniqKey="Helmer S">SD Helmer</name></author><author><name sortKey="Beamer, Ri" uniqKey="Beamer R">RI Beamer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Classe, Jm" uniqKey="Classe J">JM Classe</name></author><author><name sortKey="Dupre, Pf" uniqKey="Dupre P">PF Dupre</name></author><author><name sortKey="Francois, T" uniqKey="Francois T">T 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D'Agostino</name></author><author><name sortKey="Cioffi, L" uniqKey="Cioffi L">L Cioffi</name></author><author><name sortKey="Limongelli, P" uniqKey="Limongelli P">P Limongelli</name></author><author><name sortKey="Russo, G" uniqKey="Russo G">G Russo</name></author><author><name sortKey="Belli, A" uniqKey="Belli A">A Belli</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Axillary lymphadenectomy for breast cancer in elderly patients and fibrin glue
}}
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