Modified radical mastectomy with axillary dissection using the electrothermal bipolar vessel sealing system.
Identifieur interne : 002F19 ( PubMed/Checkpoint ); précédent : 002F18; suivant : 002F20Modified radical mastectomy with axillary dissection using the electrothermal bipolar vessel sealing system.
Auteurs : Andreas Manouras [Grèce] ; Haridimos Markogiannakis ; Michael Genetzakis ; George M. Filippakis ; Emmanuel E. Lagoudianakis ; Georgia Kafiri ; Konstantinos Filis ; George C. ZografosSource :
- Archives of surgery (Chicago, Ill. : 1960) [ 1538-3644 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Conception d'appareillage, Facteurs temps, Femelle, Humains, Hémostase chirurgicale (instrumentation), Lymphadénectomie (), Mastectomie radicale (), Perte sanguine peropératoire (), Résultat thérapeutique, Sujet âgé, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Électrocoagulation (instrumentation), Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Aisselle, Conception d'appareillage, Facteurs temps, Femelle, Humains, Hémostase chirurgicale, Lymphadénectomie, Mastectomie radicale, Perte sanguine peropératoire, Résultat thérapeutique, Sujet âgé, Tumeurs du sein, Électrocoagulation, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Axilla, Blood Loss, Surgical (prevention & control), Breast Neoplasms (blood supply), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Electrocoagulation (instrumentation), Equipment Design, Female, Follow-Up Studies, Hemostasis, Surgical (instrumentation), Humans, Lymph Node Excision (methods), Mastectomy, Radical (methods), Middle Aged, Prospective Studies, Time Factors, Treatment Outcome.
- MESH :
- blood supply : Breast Neoplasms.
- instrumentation : Electrocoagulation, Hemostasis, Surgical.
- methods : Lymph Node Excision, Mastectomy, Radical.
- pathology : Breast Neoplasms.
- prevention & control : Blood Loss, Surgical.
- surgery : Breast Neoplasms.
- Adult, Aged, Axilla, Equipment Design, Female, Follow-Up Studies, Humans, Middle Aged, Prospective Studies, Time Factors, Treatment Outcome.
Abstract
The use of the electrothermal bipolar vessel sealing system is feasible, safe, and effective in modified radical mastectomy with axillary dissection in terms of lymph vessel sealing, hemostasis, and perioperative complications.
DOI: 10.1001/archsurg.143.6.575
PubMed: 18559751
Affiliations:
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Filippakis</name></author><author><name sortKey="Lagoudianakis, Emmanuel E" sort="Lagoudianakis, Emmanuel E" uniqKey="Lagoudianakis E" first="Emmanuel E" last="Lagoudianakis">Emmanuel E. Lagoudianakis</name></author><author><name sortKey="Kafiri, Georgia" sort="Kafiri, Georgia" uniqKey="Kafiri G" first="Georgia" last="Kafiri">Georgia Kafiri</name></author><author><name sortKey="Filis, Konstantinos" sort="Filis, Konstantinos" uniqKey="Filis K" first="Konstantinos" last="Filis">Konstantinos Filis</name></author><author><name sortKey="Zografos, George C" sort="Zografos, George C" uniqKey="Zografos G" first="George C" last="Zografos">George C. 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Filippakis</name></author><author><name sortKey="Lagoudianakis, Emmanuel E" sort="Lagoudianakis, Emmanuel E" uniqKey="Lagoudianakis E" first="Emmanuel E" last="Lagoudianakis">Emmanuel E. Lagoudianakis</name></author><author><name sortKey="Kafiri, Georgia" sort="Kafiri, Georgia" uniqKey="Kafiri G" first="Georgia" last="Kafiri">Georgia Kafiri</name></author><author><name sortKey="Filis, Konstantinos" sort="Filis, Konstantinos" uniqKey="Filis K" first="Konstantinos" last="Filis">Konstantinos Filis</name></author><author><name sortKey="Zografos, George C" sort="Zografos, George C" uniqKey="Zografos G" first="George C" last="Zografos">George C. Zografos</name></author></analytic><series><title level="j">Archives of surgery (Chicago, Ill. : 1960)</title><idno type="eISSN">1538-3644</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Blood Loss, Surgical (prevention & control)</term><term>Breast Neoplasms (blood supply)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Electrocoagulation (instrumentation)</term><term>Equipment Design</term><term>Female</term><term>Follow-Up Studies</term><term>Hemostasis, Surgical (instrumentation)</term><term>Humans</term><term>Lymph Node Excision (methods)</term><term>Mastectomy, Radical (methods)</term><term>Middle Aged</term><term>Prospective Studies</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Conception d'appareillage</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Hémostase chirurgicale (instrumentation)</term><term>Lymphadénectomie ()</term><term>Mastectomie radicale ()</term><term>Perte sanguine peropératoire ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Électrocoagulation (instrumentation)</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electrocoagulation</term><term>Hemostasis, Surgical</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term><term>Mastectomy, Radical</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Blood Loss, Surgical</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>Axilla</term><term>Equipment Design</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Conception d'appareillage</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Hémostase chirurgicale</term><term>Lymphadénectomie</term><term>Mastectomie radicale</term><term>Perte sanguine peropératoire</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Électrocoagulation</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The use of the electrothermal bipolar vessel sealing system is feasible, safe, and effective in modified radical mastectomy with axillary dissection in terms of lymph vessel sealing, hemostasis, and perioperative complications.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18559751</PMID><DateCreated><Year>2008</Year><Month>06</Month><Day>18</Day></DateCreated><DateCompleted><Year>2008</Year><Month>07</Month><Day>08</Day></DateCompleted><DateRevised><Year>2008</Year><Month>06</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-3644</ISSN><JournalIssue CitedMedium="Internet"><Volume>143</Volume><Issue>6</Issue><PubDate><Year>2008</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Archives of surgery (Chicago, Ill. : 1960)</Title><ISOAbbreviation>Arch Surg</ISOAbbreviation></Journal><ArticleTitle>Modified radical mastectomy with axillary dissection using the electrothermal bipolar vessel sealing system.</ArticleTitle><Pagination><MedlinePgn>575-80; discussion 581</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1001/archsurg.143.6.575</ELocationID><Abstract><AbstractText Label="HYPOTHESIS" NlmCategory="OBJECTIVE">The use of the electrothermal bipolar vessel sealing system is feasible, safe, and effective in modified radical mastectomy with axillary dissection in terms of lymph vessel sealing, hemostasis, and perioperative complications.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">University surgical department.</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">Between January 1, 2003, and December 31, 2003, 60 patients with locally advanced breast cancer (T2 or T3) admitted for modified radical mastectomy with axillary dissection were included in this study. The entire procedure was performed by the same surgical team using the electrothermal bipolar vessel sealing system.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Final outcome, operative time, hospitalization stay duration, intraoperative blood loss, postoperative mastectomy and axillary drainage volume and duration, and postoperative complications (seroma, bleeding, skin burn, hematoma, lymphedema, pneumothorax, and wound infection or necrosis).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean (SD) intraoperative blood loss was 45 (12) mL, and the mean (SD) operative time was 105 (7) minutes. No postoperative bleeding, seroma, hematoma, lymphedema, or other complications occurred. The mean (SD) mastectomy and axillary drainage volumes were 20 (8) and 155 (35) mL, respectively, and the mean (SD) drainage durations were 1.3 (0.2) and 2.7 (0.5) days, respectively. The mean (SD) hospital stay was 3.7 (0.6) days.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this first report (to our knowledge) of modified radical mastectomy with axillary dissection using the electrothermal bipolar vessel sealing system, the technique was feasible, safe, and effective. The device simplified the surgical procedure, while achieving efficient lymph vessel sealing and hemostasis. Compared with historical data regarding the conventional or harmonic scalpel, this technique seems to result in reduced operative time, perioperative blood loss, drainage volume and duration, and incidence of seroma or lymphedema. Prospective randomized controlled studies are necessary to evaluate the effect of this technique on perioperative complications.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Manouras</LastName><ForeName>Andreas</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>First Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Markogiannakis</LastName><ForeName>Haridimos</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Genetzakis</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Filippakis</LastName><ForeName>George M</ForeName><Initials>GM</Initials></Author><Author ValidYN="Y"><LastName>Lagoudianakis</LastName><ForeName>Emmanuel E</ForeName><Initials>EE</Initials></Author><Author ValidYN="Y"><LastName>Kafiri</LastName><ForeName>Georgia</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Filis</LastName><ForeName>Konstantinos</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Zografos</LastName><ForeName>George C</ForeName><Initials>GC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Surg</MedlineTA><NlmUniqueID>9716528</NlmUniqueID><ISSNLinking>0004-0010</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016063" MajorTopicYN="N">Blood Loss, Surgical</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004564" MajorTopicYN="N">Electrocoagulation</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004867" MajorTopicYN="N">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006488" MajorTopicYN="N">Hemostasis, Surgical</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015409" MajorTopicYN="N">Mastectomy, Radical</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>6</Month><Day>19</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>7</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>6</Month><Day>19</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18559751</ArticleId><ArticleId IdType="pii">143/6/575</ArticleId><ArticleId IdType="doi">10.1001/archsurg.143.6.575</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Grèce</li></country><region><li>Attique (région)</li></region><settlement><li>Athènes</li></settlement></list><tree><noCountry><name sortKey="Filippakis, George M" sort="Filippakis, George M" uniqKey="Filippakis G" first="George M" last="Filippakis">George M. Filippakis</name><name sortKey="Filis, Konstantinos" sort="Filis, Konstantinos" uniqKey="Filis K" first="Konstantinos" last="Filis">Konstantinos Filis</name><name sortKey="Genetzakis, Michael" sort="Genetzakis, Michael" uniqKey="Genetzakis M" first="Michael" last="Genetzakis">Michael Genetzakis</name><name sortKey="Kafiri, Georgia" sort="Kafiri, Georgia" uniqKey="Kafiri G" first="Georgia" last="Kafiri">Georgia Kafiri</name><name sortKey="Lagoudianakis, Emmanuel E" sort="Lagoudianakis, Emmanuel E" uniqKey="Lagoudianakis E" first="Emmanuel E" last="Lagoudianakis">Emmanuel E. Lagoudianakis</name><name sortKey="Markogiannakis, Haridimos" sort="Markogiannakis, Haridimos" uniqKey="Markogiannakis H" first="Haridimos" last="Markogiannakis">Haridimos Markogiannakis</name><name sortKey="Zografos, George C" sort="Zografos, George C" uniqKey="Zografos G" first="George C" last="Zografos">George C. Zografos</name></noCountry><country name="Grèce"><region name="Attique (région)"><name sortKey="Manouras, Andreas" sort="Manouras, Andreas" uniqKey="Manouras A" first="Andreas" last="Manouras">Andreas Manouras</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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