A Prospective Randomized Study to Compare Postoperative Drainage After Mastectomy Using Electrosurgical Bipolar Systems and Conventional Electro-Cautery

박형석; 이지아; 김지예; 박정미; 권용한

doi:10.4048/jbc.2022.25.e29

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자료유형: 학술저널

저자정보: 박형석 (Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.) 이지아 (Department of Surgery, Uijeongbu Eulji, Medical Center, Eulji University, Uijeongbu, Korea.) 김지예 (Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.) 박정미 (Department of Biostatistics and Computing Graduate School Yonsei University Seoul Korea.) 권용한 (Department of Biostatistics and Computing, Graduate School, Yonsei University, Seoul, Korea.)

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.25 No.4

발행연도: 2022.8

수록면: 307 - 317 (11page)

DOI: 10.4048/jbc.2022.25.e29

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Purpose: Advanced energy devices, including electrosurgical bipolar systems or ultrasonic shears, are widely used in various surgeries. An electrosurgical bipolar device allows surgeons to grasp and dissect tissues, as well as simultaneously ligate and cut vessels and lymphatics during surgery. This study aimed to evaluate the effects of advanced bipolar energy devices on the reduction in seroma formation during mastectomy, axillary staging, and/or reconstruction. Methods: This prospective randomized clinical trial with a 1:1 ratio compared the use of an electrosurgical bipolar device, LigaSureTM (LGS), against conventional cut-and-ligate techniques in mastectomy with axillary procedures for patients with breast cancer. A total of 82 patients with breast cancer who underwent definitive surgery were enrolled in this study. The primary endpoint was the total drainage volume after surgery. Results: The clinicopathological characteristics of the two groups were not significantly different. The total postoperative drainage volume was significantly lower in the LGS group than in the control group (756.26 mL vs. 1,167.74 mL, p = 0.009). The actual postoperative drainage volume and duration also decreased significantly in the LGS group compared with those in the control group (all p < 0.05). The rate of postoperative complications was lower in the LGS group than in the control group (9.8% vs. 27.5%, p = 0.05). Conclusion: Electrosurgical bipolar devices showed better performance in terms of decreasing postoperative drainage during mastectomy and axillary staging and/or reconstruction.

#Breast Neoplasms #Postoperative Complications #Seroma #Surgical Procedures #Operative

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