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Comparative Study
. 2017 Jul 14;15(1):129.
doi: 10.1186/s12957-017-1199-z.

Comparison of skin-sparing mastectomy using LigaSure™ Small Jaw and electrocautery

Young Woo Chang  1 , Hwan Soo Kim  1 , Seung Pil Jung  1 , Sang Uk Woo  1 , Jae Bok Lee  1 , Jeoung Won Bae  1 , Gil Soo Son  2   3
Affiliations
Comparative Study

Comparison of skin-sparing mastectomy using LigaSure™ Small Jaw and electrocautery

Young Woo Chang et al. World J Surg Oncol. .

Abstract

Background: Skin-sparing mastectomy (SSM) is increasingly used in patients with breast cancer. We compared the differences between use of electrocautery and LigaSure™ Small Jaw in patients with breast cancer who underwent SSM.

Methods: Between January 2012 and December 2015, 81 patients with breast cancer who underwent SSM were selected and were divided into the electrocautery group and the LigaSure™ Small Jaw group based on the devices that were used. Clinicopathological characteristics, body mass index, operative time, and weight of removed breast were obtained from medical records. Total amount and days of drain use, until removal, and postoperative skin necrosis, requiring debridement, were also analyzed.

Results: The study population consisted of 50 patients in the electrocautery group and 31 in the LigaSure™ Small Jaw group. The latter group has significantly shorter operative time (117.5 ± 16.9 vs. 104.0 ± 23.6 min, P = 0.004). The mean total volume of drainage was less (805 ± 278 vs. 694 ± 131 mL, P = 0.017) and mean duration of drainage was also significantly shorter in the LigaSure™ Small Jaw group (11.3 ± 2.5 vs. 10.1 ± 2.0 days, P = 0.029).

Conclusions: The use of LigaSure™ Small Jaw during skin-sparing mastectomy shortened the operative time and duration of drainage and reduced the total volume of drainage.

Keywords: Electrocautery; Energy devices; LigaSure™ Small Jaw; Skin-sparing mastectomy.

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Conflict of interest statement

Ethics approval and consent to participate

This retrospective study was approved by the Institutional Review Board of Korea University Medical Center, Ansan.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional.

Figures

Fig. 1
Fig. 1
LigaSure™ Small Jaw and Valleylab™ LS10 Generator
Fig. 2
Fig. 2
Flow chart of the study population. SSM skin-sparing mastectomy, ALND axillary lymph node dissection, LN lymph node
See this image and copyright information in PMC

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