Details

Autor(en) / Beteiligte

• Nespoli, Luca
• Antolini, Laura
• Stucchi, Claudia
• Nespoli, Angelo
• Valsecchi, Maria Grazia
• Gianotti, Luca

Titel

Axillary lymphadenectomy for breast cancer. A randomized controlled trial comparing a bipolar vessel sealing system to the conventional technique

Ist Teil von

• Breast (Edinburgh), 2012-12, Vol.21 (6), p.739-745

Ort / Verlag

Netherlands: Elsevier Ltd

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Aim To compare safety and efficacy of a bipolar vessel sealing system (BVSS) to the conventional technique in axillary node dissection. Methods 116 women with breast cancer were randomized to conventional node dissection surgical technique (control; n  = 58) by scalpel and monopolar cautery or using an electrothermal BVSS (study group; n  = 58). Results The median (range) total volume of fluid collected by drain and aspirations was 305 (30–1420) mL in the study group and 335 (80–1070) mL in the control group ( p  = 0.325). The median (range) total volume of lymph collected by percutaneous aspirations was 207.5 (40–1050) mL in the study group and 505 (270–705) mL in the control group ( p  = 0.010). The incidence of seroma was similar in both groups ( p  = 0.845). The axillary drain was removed earlier in the study group than in controls ( p  = 0.046). Conclusion The use of a BVSS offers marginal advantages when compared to the conventional technique.