Is Axillary Lymph Node Dissection by Ultrasonic Dissector Advantageous?

Author:

Krishnaswamy Uma1,Reddy Balachandar Kariappa1,Kumar Srinivasan Yasvanth1,Thulasilingam Kathirazhagan1,Sivakumar Sivaranjani1,Kumar Vasantham Sai Sampath1

Affiliation:

1. Department of General Surgery, Apollo (Main) Hospital, Chennai, Tamil Nadu, India

Abstract

Abstract Aims and Objectives: There are conflicting reports about the merits of an Ultrasonic Dissector for Axillary Lymph Node Dissection (ALND) in Carcinoma breasts. Ours was a retrospective study to analyse its advantages and possible disadvantages. Methods: We retrospectively analyzed the data of 86 patients who underwent (ALND Level 2 and Level 3) with Ultrasonic Dissector, for Breast Cancer, in terms of intraoperative and postoperative outcomes. Results: There was a reduction in ALND time. ALND Level 2: 15.99 (standard deviation [SD] ±6.45) min and ALND Level 3: 21.09 (SD ± 9.25) min. Intraoperative blood loss was minimal at <25 mL, no instances of reactionary hemorrhage, wound, or flap complications. Conclusions: There was a reduction in operative time, incidence of seroma and postoperative pain, with no instances of reactionary hemorrhage, hematoma, wound and flap complications.

Publisher

Medknow

Subject

General Medicine

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