UNASSIGNED: We conducted a comparative analysis of 36 patients who underwent total mastectomy with ALND using conventional electrocautery technique (CONV) during the first 3 years, and 35 patients who underwent the same procedure using TST during the subsequent 3 years. The following factors were compared to assess the impact of TST: operation time, blood loss, total drainage volume, mean time to drain removal, postoperative hospital stay, mean time to initiation of postoperative chemotherapy, and postoperative complications in each group.
UNASSIGNED: TST significantly reduced drainage volume (360.5 vs. 820.6 mL, p < 0.001), days to drain removal (4.8 vs. 6.8 days, p < 0.001), postoperative hospital stay (5.9 vs. 9.6 days, p < 0.001), the incidence of seroma (28.6 % vs. 65.9 %, p = 0.001), and time to chemotherapy initiation (33.1 vs. 61.4 days, p < 0.001) compared to CONV.
UNASSIGNED: TST in total mastectomy with ALND effectively decreases the incidence of lymphorrhea and seroma formation; thus, it can be recommended for total mastectomy with ALND.
■我们对36例患者进行了比较分析,这些患者在头3年中使用常规电灼技术(CONV)进行了ALND全乳房切除术,和35名患者在随后的3年中使用TST进行了相同的手术。比较以下因素以评估TST的影响:手术时间,失血,总排水量,排水去除的平均时间,术后住院时间,开始术后化疗的平均时间,各组术后并发症。
■TST显着减少了排水量(360.5vs.820.6mL,p<0.001),排水去除天数(4.8vs.6.8天,p<0.001),术后住院时间(5.9vs.9.6天,p<0.001),血清肿的发生率(28.6%vs.65.9%,p=0.001),和化疗开始时间(33.1vs.61.4天,p<0.001)与CONV相比。
■在ALND全乳房切除术中使用TST可有效降低淋巴漏和血清肿形成的发生率;因此,它可以推荐用于ALND全乳房切除术。