Mastectomy using ultrasonic dissection: effect on seroma formation
Mastectomy using ultrasonic dissection: effect on seroma formation
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DOI：
10.1016/s0960-9776(03)00110-3
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发表时间：
2003-10-01
期刊：
影响因子：
3.9
通讯作者：
Hoffmann, J
中科院分区：
文献类型：
--
作者：
Galatius, H;Okholm, M;Hoffmann, J
乳房切除术后最常见的并发症是浆液瘤的形成。在已知的几个病因中，所使用的手术方法可能对浆液瘤的形成有重要作用。对59例可手术乳腺癌患者行改良乳腺癌根治术，其中30例采用超声刀，29例采用剪刀加电灼术，对超声能量剥离技术及其对浆膜腔积液和其他并发症的影响进行了前瞻性研究。所有病例均用剪刀进行标准的II级腋窝清扫术。我们发现手术结果没有差别。两组术中出血(中位数300ml，100~790vs300ml，40~1400)，引流量(585ml，130~1455)vs645ml(95~1570)，浆膜腔积液50(0~580)mlvs105(0~3775)ml，伤口并发症基本相同。总之，没有发现超声夹层技术的临床优势和劣势。(C)2003爱思唯尔有限公司。保留所有权利。
Seroma formation is the most common complication after mastectomy. Among the several known etiological factors the surgical procedure used may be of importance for seroma formation. This prospective study was carried out to evaluate the ultrasonic energy dissection technique and its effect on seroma formation and other complications: 59 patients with operable breast cancer underwent modified radical mastectomy, performed in 30 of them with an Ultracision Harmonic scalpel and in 29 with scissors and electrocautery. In all cases a standard level II axillary dissection was performed with scissors. We found no differences in the outcome of surgery. Peroperative bleeding (median 300 ml, range 100-790 vs 300 ml, range 40-1400), drain volume (585 ml, range 130-1455) vs 645 ml, range 95-1570), seroma formation 50 (0-580) ml vs 105 (0-3775) ml and wound complications were about the same in both groups. In conclusion, neither clinical advantages or disadvantages of the ultrasound dissection technique were found. (C) 2003 Elsevier Ltd. All rights reserved.