Axillary lymphadenectomy for breast cancer in elderly patients and fibrin glue

被引：25

作者：

Docimo, Giovanni ^{[1
]}

Limongelli, Paolo ^{[1
]}

Conzo, Giovanni ^{[1
]}

Gili, Simona ^{[1
]}

Bosco, Alfonso ^{[1
]}

Rizzuto, Antonia ^{[2
]}

Amoroso, Vincenzo ^{[1
]}

Marsico, Salvatore ^{[1
]}

Leone, Nicola ^{[1
]}

Esposito, Antonio ^{[1
]}

Vitiello, Chiara ^{[1
]}

Fei, Landino ^{[1
]}

Parmeggiani, Domenico ^{[1
]}

Docimo, Ludovico ^{[1
]}

机构：

[1] Univ Naples 2, Dept Surg, Div Gen Surg, I-80131 Naples, Italy

[2] Magna Grecia Univ, Dept Med & Surg Sci, Catanzaro, Italy

来源：

BMC SURGERY | 2013年 / 13卷

关键词：

PROSPECTIVE RANDOMIZED-TRIAL; SEROMA FORMATION; RISK-FACTORS; CLINICAL-TRIAL; REDUCE SEROMA; DISSECTION; DRAINAGE; SURGERY; FUNDOPLICATION; ELECTROCAUTERY;

D O I：

10.1186/1471-2482-13-S2-S8

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: 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. Methods: 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. Results: 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. Conclusions: Use of fibrin glue does not always prevent seroma formation, but can reduce seroma magnitude, duration and necessary evacuative punctures.

引用

页数：5

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