The Clinical Usefulness of the LigaSure™ Small Jaw in Axillary Lymph Node Dissection in Patients with Breast Cancer

被引:7
作者
Inoue, Yuka [1 ]
Yamashita, Nami [1 ]
Ueo, Hiroki [1 ]
Tanaka, Kimihiro [1 ]
Saeki, Hiroshi [1 ]
Oki, Eiji [1 ]
Tokunaga, Eriko [2 ]
Maehara, Yoshihiko [1 ]
机构
[1] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Fukuoka, Japan
[2] Natl Hosp Org Kyushu Canc Ctr, Dept Breast Oncol, Fukuoka, Japan
关键词
Ligasure (TM) small jaw; axillary dissection; breast cancer; RANDOMIZED-TRIAL; RECURRENCE; MASTECTOMY; SURGERY;
D O I
10.21873/anticanres.12483
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: The LigaSure (TM) small jaw (LS-SJ) multifunctional tissue sealing system is mainly used in cervical operations. We aimed to evaluate the clinical efficacy of the LS-SJ in axillary lymph node dissection (ALND) in comparison to the conventional method. Patients and Methods: Ninety-two patients with breast cancer who underwent total mastectomy and ALND were included in this study. The patients were divided into the LS-SJ group (n= 43) and the conventional-ALND (c-ALND) group (n= 49). Results: Patients with high body mass index values had a greater drainage volume and longer time to drain removal. The drainage volume was in the LS-SJ group was significantly lower than that in the c-ALND group. The time to drain removal and the hospitalization period were also significantly shorter in the LS-SJ group. The LS-SJ was more effective for ALND in obese patients. Conclusion: The results suggest the clinical usefulness of LS-SJ in ALND in patients with breast cancer, especially in obese patients.
引用
收藏
页码:2359 / 2362
页数:4
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