Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series.
Identifieur interne : 000277 ( PubMed/Curation ); précédent : 000276; suivant : 000278Is 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. GulottaSource :
- Il Giornale di chirurgia [ 0391-9005 ]
Descripteurs français
- KwdFr :
- 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 :
- 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
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.
PubMed: 28350973
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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">PubMed</idno><date when="????"><PubDate><MedlineDate>2016 Nov-Dec</MedlineDate></PubDate></date><idno type="RBID">pubmed:28350973</idno><idno type="pmid">28350973</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></publicationStmt><sourceDesc><biblStruct><analytic><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></analytic><series><title level="j">Il Giornale di chirurgia</title><idno type="ISSN">0391-9005</idno></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">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28350973</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>28</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>03</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>03</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0391-9005</ISSN><JournalIssue CitedMedium="Print"><Volume>37</Volume><Issue>6</Issue><PubDate><MedlineDate>2016 Nov-Dec</MedlineDate></PubDate></JournalIssue><Title>Il Giornale di chirurgia</Title><ISOAbbreviation>G Chir</ISOAbbreviation></Journal><ArticleTitle>Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series.</ArticleTitle><Pagination><MedlinePgn>262-265</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Militello</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>De Marco</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Falco</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Kabhuli</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Mascolino</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Licari</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Tutino</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Cocorullo</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Gulotta</LastName><ForeName>G</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>G Chir</MedlineTA><NlmUniqueID>9011768</NlmUniqueID><ISSNLinking>0391-9005</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Surg Innov. 2016 Feb;23(1):23-9</RefSource><PMID Version="1">26243629</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 1998 Jul;176(1):8-11</RefSource><PMID Version="1">9683123</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cir Cir. 2005 Sep-Oct;73(5):345-50</RefSource><PMID Version="1">16336797</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Surg. 2016 Jun;30:116-20</RefSource><PMID Version="1">27142863</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Rev Assoc Med Bras (1992). 2008 Nov-Dec;54(6):517-21</RefSource><PMID Version="1">19197529</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surg Oncol. 2008 Dec;17(4):261-6</RefSource><PMID Version="1">18456492</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surgeon. 2014 Jun;12(3):158-65</RefSource><PMID Version="1">24548701</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast Cancer Res Treat. 2001 May;67(1):9-14</RefSource><PMID Version="1">11518470</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2015 Nov 06;10(11):e0142271</RefSource><PMID Version="1">26544716</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Obstet Fertil. 2008 Feb;36(2):130-5</RefSource><PMID Version="1">18243754</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surg Technol Int. 2014 Nov;25:29-35</RefSource><PMID Version="1">25433173</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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