Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Wienerroither, V; Hammer, R; Kornprat, P; Schrem, H; Wagner, D; Mischinger, HJ; El-Shabrawi, A.
Use of LigaSure vessel sealing system versus conventional axillary dissection in breast cancer patients: a retrospective comparative study.
BMC Surg. 2022; 22(1):436
Doi: 10.1186/s12893-022-01888-2
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- Führende Autor*innen der Med Uni Graz
- Wienerroither Valerie Fanny
- Co-Autor*innen der Med Uni Graz
- El-Shabrawi Azab Mohamed
- Hammer Robert
- Kornprat Peter
- Mischinger Hans-Jörg
- Schrem Harald Heinrich
- Wagner Doris
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- Abstract:
- BACKGROUND: In locally advanced breast cancer, axillary lymph node dissection remains a pivotal component of surgical therapy. Apart from this, it has been mostly replaced by sentinel node biopsy. Complications after axillary dissection include wound infection, neuropathy, lymphedema and-most frequently-seroma. In this retrospective multi-centre study, we compared the use of LigaSureTM with monopolar electrocautery regarding perioperative outcome. METHODS: A retrospective data analysis from female breast cancer patients who underwent axillary dissection at two breast centres in Austria that are using two different surgical techniques was performed for this study. We compared the rate of complications and re-operations, length of hospital stay, time to drain removal, total drain fluid, seroma formation after drain removal, number of seroma aspirations and total seroma fluid. RESULTS: Seventy one female patients with a median age of 63 (30-83) were included in this study. In 35 patients LigaSureTM and in 36 monopolar cautery was used for axillary dissection. There was no significant difference regarding intraoperative complications and rate of re-operations between the two groups (2.9 vs. 5.6%; p = 1 and 2.9 vs. 13.9%; p = 0.199). The time to drain removal and the length of hospital stay was similar in both groups. A significant difference in the occurence of postoperative wound infection could also not be shown. However, we found a significantly smaller total drain fluid in the LigaSureTM-group compared to the cautery-group (364.6 ml vs. 643.4 ml; p = 0.004). Seroma formation after drain removal was more frequent in the LigaSureTM-group (68.6 vs. 41.7%; p = 0.032) with a higher number of outpatient seroma aspirations (2.0 vs. 0.9; p = 0.005). CONCLUSION: LigaSureTM and monopolar cautery provide equivalent techniques in axillary lymph node dissection with comparable postoperative outcomes.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Female - administration & dosage
- Breast Neoplasms - pathology
- Retrospective Studies - administration & dosage
- Seroma - epidemiology, etiology
- Lymph Node Excision - methods
- Drainage - methods
- Axilla - surgery, pathology
- Find related publications in this database (Keywords)
- Axillary lymph node dissection
- Breast cancer
- Thermal sealing system
- Hemostasis
- LigaSure (TM)
- Electrocautery