Cic edizioni internazionali
Il Giornale di Chirurgia

Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series

Original Article, 262 - 265
doi: 10.11138/gchir/2016.37.6.262
Tag this article
Abstract
Full text PDF
Background. The seroma is one of the most common complications in the axillary lymph nodal dissection (different surgical approaches have been tried to reduce the seroma incidence). In our study we evaluate the outcome of patients using or not the ultrasonic scalpel (Harmonic scalpel) according to a standardized surgical technique.
Patients and Methods. From January 2011 to December 2015 120 patients underwent axillary dissection for breast cancer. Patients were divided in two groups: patients belonging to the first group underwent Harmonic scalpel dissection and patients belonging to the second group underwent classical dissection. Each group consisted of 60 patients. Quadrantectomy (QUAD) was performed in 54 patients, 66 women underwent mastectomy. In all patients axillary dissection included the I, II and III level. We compared two groups in terms of: time of surgery, hematoma, drainage volume, days of sealing drainage, seroma formation, number of post-seroma aspirations, upper limb lymphedema, wound infections, post-operative pain.
Results. Statistically significant results were obtained in terms of the total volume of the breast and axillary drainage in the two techniques.
There were no significant differences in the two samples in terms of operative time incidence of seroma, post-operative hematoma, wound infection, and lymphedema of the upper limb.
Conclusion. The small number of cases did not allow us to reach definitive conclusions. The use of Harmonic scalpel seems to show smaller incidence of seroma and reduction of the amount of both breast and axillary drainages. Further studies are needed to define the real advantage in terms of cost benefit of using these devices in the axillary surgery.

Vol. XXXVIII (No. 1) 2017 January - February

  1. The non-surgical management for hemorrhoidal disease. A systematic review
    Cocorullo G., Tutino R., Falco N., Licari L., Orlando G., Fontana T., Raspanti C., Salamone G., Scerrino G., Gallo G., Trompetto M., Gulotta G.
    doi: 10.11138/gchir/2017.38.1.005
  2. 23-hour observation endocrine neck surgery: lessons learned from a case series of over 1700 patients
    Raspanti C., Porrello C., Augello G., Dafnomili A., Rotolo G., Randazzo A., Falco N., Fontana T., Tutino R., Gulotta G.
    doi: 10.11138/gchir/2017.38.1.015
  3. Lymph node assessment in colorectal cancer surgery: laparoscopic versus open techniques
    Balducci G., Sederino M.G., Laforgia R., Carbotta G., Minafra M., Delvecchio A., Fedele S., Tromba A., Carbone F., Palasciano N.
    doi: 10.11138/gchir/2017.38.1.023
  4. Caecal leiomyoma detected by whole-body MRI in a patient with Hodgkin lymphoma: first case report
    Albano D., Sinagra E., Patti C., Narese D., Agrusa A., Di Buono G., Raimondo D., Midiri M., Lagalla R., Galia M.
    doi: 10.11138/gchir/2017.38.1.027
  5. Deep sternal wound infections: a severe complication after cardiac surgery
    Morgante A., Romeo F.
    doi: 10.11138/gchir/2017.38.1.033
  6. Neoplastic sigmoid-uterine fistula. An exceptional complication of large intestine cancer
    Zanghì G., Leanza V., Vecchio R., D'Agati A., Cordova S., Rinzivillo N.M., Lodato M., Leanza G.
    doi: 10.11138/gchir/2017.38.1.037
  7. Deep SSI after mesh-mediated groin hernia repair: management and outcome in an Emergency Surgery Department
    Salamone G., Licari L., Augello G., Campanella S., Falco N., Tutino R., Cocorullo G., Gullo R., Raspanti C., De Marco P., Porrello C., Profita G., Gulotta G.
    doi: 10.11138/gchir/2017.38.1.041
  8. Agenesis of the internal carotid artery: a family pathology?
    Perla F.M., Carbotta G., Di Nardo D., D'Avanzo M., Colaiacomo M.C., Di Biasi C., Falvo L., Carbotta S., Maturo A., Tartaglia F., Tromba L.
    doi: 10.11138/gchir/2017.38.1.046
  9. Cyanoacrylate sealant compared to fibrin glue in staple line reinforcement during laparoscopic sleeve gastrectomy. Pilot prospective observational study
    Martines G., Digennaro R., De Fazio M., Capuano P.
    doi: 10.11138/gchir/2017.38.1.050
  10. Supergiant fecaloma as manifestation of chronic constipation
    Currò G., Lazzara C., Latteri S., Bartolotta M., Navarra G.
    doi: 10.11138/gchir/2017.38.1.053
Last Viewed articles: la lista degli ultimi x visitati.
  1. Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series
    Militello G., De Marco P., Falco N., Kabhuli K., Mascolino A., Licari L., Tutino R., Cocorullo G., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.262
credits