A randomized controlled study comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer
Identifieur interne : 000C54 ( Pmc/Checkpoint ); précédent : 000C53; suivant : 000C55A 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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PMC:4937003Le document en format XML
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<author><name sortKey="Seki, Tomoko" sort="Seki, Tomoko" uniqKey="Seki T" first="Tomoko" last="Seki">Tomoko Seki</name>
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<author><name sortKey="Hayashida, Tetsu" sort="Hayashida, Tetsu" uniqKey="Hayashida T" first="Tetsu" last="Hayashida">Tetsu Hayashida</name>
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<author><name sortKey="Takahashi, Maiko" sort="Takahashi, Maiko" uniqKey="Takahashi M" first="Maiko" last="Takahashi">Maiko Takahashi</name>
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<author><name sortKey="Jinno, Hiromitsu" sort="Jinno, Hiromitsu" uniqKey="Jinno H" first="Hiromitsu" last="Jinno">Hiromitsu Jinno</name>
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<author><name sortKey="Kitagawa, Yuko" sort="Kitagawa, Yuko" uniqKey="Kitagawa Y" first="Yuko" last="Kitagawa">Yuko Kitagawa</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">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>
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<author><name sortKey="Hayashida, Tetsu" sort="Hayashida, Tetsu" uniqKey="Hayashida T" first="Tetsu" last="Hayashida">Tetsu Hayashida</name>
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<author><name sortKey="Takahashi, Maiko" sort="Takahashi, Maiko" uniqKey="Takahashi M" first="Maiko" last="Takahashi">Maiko Takahashi</name>
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<author><name sortKey="Jinno, Hiromitsu" sort="Jinno, Hiromitsu" uniqKey="Jinno H" first="Hiromitsu" last="Jinno">Hiromitsu Jinno</name>
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<author><name sortKey="Kitagawa, Yuko" sort="Kitagawa, Yuko" uniqKey="Kitagawa Y" first="Yuko" last="Kitagawa">Yuko Kitagawa</name>
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<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>
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<article-id pub-id-type="pmc">4937003</article-id>
<article-id pub-id-type="publisher-id">2710</article-id>
<article-id pub-id-type="doi">10.1186/s40064-016-2710-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
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</article-categories>
<title-group><article-title>A randomized controlled study comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Seki</surname>
<given-names>Tomoko</given-names>
</name>
<address><email>tomnabe@z2.keio.jp</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Hayashida</surname>
<given-names>Tetsu</given-names>
</name>
<address><phone>+81 3 3353 1211</phone>
<email>tetsu@z7.keio.jp</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Takahashi</surname>
<given-names>Maiko</given-names>
</name>
<address><email>maiko0118@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jinno</surname>
<given-names>Hiromitsu</given-names>
</name>
<address><email>jinno@z7.keio.jp</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kitagawa</surname>
<given-names>Yuko</given-names>
</name>
<address><email>kitagawa@a3.keio.jp</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><label></label>
Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan</aff>
<aff id="Aff2"><label></label>
Department of Surgery, Teikyo University, Tokyo, Japan</aff>
</contrib-group>
<pub-date pub-type="epub"><day>7</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>7</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<elocation-id>1004</elocation-id>
<history><date date-type="received"><day>25</day>
<month>6</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>29</day>
<month>6</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Breast cancer</kwd>
<kwd>Vessel sealing system</kwd>
<kwd>Axillary lymph node dissection</kwd>
<kwd>Randomized controlled trial</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<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 Jinno</name>
</region>
</country>
</tree>
</affiliations>
</record>
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