Gupta R, Pate K, Varshney S, Goddard J, Royle G T
University Department of Surgery.
Eur J Surg Oncol. 2001 Feb;27(1):26-30. doi: 10.1053/ejso.2000.1054.
Mastectomy and axillary clearance are standard operations for the treatment of breast carcinoma. Drainage of the mastectomy site and axilla is often required to allow accumulating blood and inflammatory fluids to escape. However, there is a lack of data relating to how long suction drains should stay in situ after major breast surgery. In our study we have tried to address this deficit by comparing the efficacy of 5-day post-operative drainage with 8-day post-operative drainage.
Patients requiring mastectomy and axillary clearance were randomized to having drains removed on day 5 or day 8 post-operatively. The number of lymphoceles, aspirations and total aspiration volumes in chest and axillary drains were compared.
From a total of 121 patients enrolled into the study, 64 patients were randomized to the 5-day group and 57 to the 8-day group. There were significant differences regarding the number of aspirations and total aspiration volumes in chest and axillary drains between the two groups, favouring 8-day drainage. However the number of lymphoceles drained in the 5-day group was significantly higher than the 8-day group.
Five-day post-operative drainage is as safe as 8-day post-operative drainage in the management of patients undergoing major breast surgery, but results in an increase in lymphocele aspiration and aspiration volume.
乳房切除术和腋窝清扫术是治疗乳腺癌的标准手术。乳房切除部位和腋窝通常需要引流，以使积聚的血液和炎性液体排出。然而，关于大型乳房手术后负压引流管应留置原位多长时间的数据尚缺。在我们的研究中，我们试图通过比较术后5天引流与术后8天引流的效果来解决这一不足。
需要进行乳房切除术和腋窝清扫术的患者被随机分为术后第5天或第8天拔除引流管。比较胸部和腋窝引流管中淋巴囊肿的数量、抽吸次数和总抽吸量。
在总共121名纳入研究的患者中，64名患者被随机分配到5天组，57名患者被随机分配到8天组。两组之间胸部和腋窝引流管的抽吸次数和总抽吸量存在显著差异，8天引流更具优势。然而，5天组引流的淋巴囊肿数量明显高于8天组。
在接受大型乳房手术的患者管理中，术后5天引流与术后8天引流一样安全，但会导致淋巴囊肿抽吸次数和抽吸量增加。
