The Use of Ligasure Vessel Sealing System in Axillary Dissection; Effect on Seroma Formation
M. Tukenmez, O. Agcaoglu, N. Aksakal, S. Destek, N. Cabioglu, U. Barbaros, Y. Erbil, A. Bozbora, A. Dinccag, V. Ozmen, M. Muslumanoglu, A. IgciOriginal article, no. 5, 2014
Background: Seroma formation is the most frequent postoperativecomplication after axillary dissection for breastsurgery with an incidence of 10 - 50 %. This prospectiveclinical randomized study was carried out to evaluate the Ligasure vessel sealing system and its effect on seromaformation and other complications for axillary dissection.
Methods: Between January 2006 and November 2007, thepatients with histopathological diagnosis of breast cancer wereanalysed prospectively. The patients with positive sentinellymph node biopsy or clinical axillary involvement wereincluded in the study, and the patients who underwent neoadjuvanttherapy or using anticoagulants have been excludedfrom the study. Patients were divided into two study groups.Axillary dissection was performed in the first group byLigaSure and in the second group by linking and electrocautery.
Results: There were a total of thirty three patients with amean age of 51.4 +- 13.7. In group one, mean age of patientswas 54.1 +- 13.2 and 48.68 +- 14.1 in group two. There wasno significant statistical difference between the groupsregarding age, body mass index, excised tissue weight,tumour size and number of excised lymph nodes. The use ofLigasure reduced drainage amount and duration of drain tillremoval, but increased operative time.
Conclusion: There were no significant differences between studygroups regarding the complications. LigaSure electrothermalbipolar vessel sealing system can be safely used in axillarydissection as an alternative to traditional methods.
Methods: Between January 2006 and November 2007, thepatients with histopathological diagnosis of breast cancer wereanalysed prospectively. The patients with positive sentinellymph node biopsy or clinical axillary involvement wereincluded in the study, and the patients who underwent neoadjuvanttherapy or using anticoagulants have been excludedfrom the study. Patients were divided into two study groups.Axillary dissection was performed in the first group byLigaSure and in the second group by linking and electrocautery.
Results: There were a total of thirty three patients with amean age of 51.4 +- 13.7. In group one, mean age of patientswas 54.1 +- 13.2 and 48.68 +- 14.1 in group two. There wasno significant statistical difference between the groupsregarding age, body mass index, excised tissue weight,tumour size and number of excised lymph nodes. The use ofLigasure reduced drainage amount and duration of drain tillremoval, but increased operative time.
Conclusion: There were no significant differences between studygroups regarding the complications. LigaSure electrothermalbipolar vessel sealing system can be safely used in axillarydissection as an alternative to traditional methods.
