Rodd Caroline D, Velchuru Vamsi R, Holly-Archer Frances, Clark Allan, Pereira Jerome H
The James Paget Hospital NHS Trust, Great Yarmouth, East Anglia, UK.
World J Surg. 2007 Jun;31(6):1164-8. doi: 10.1007/s00268-007-9000-z.
The unit was considering the routine use of diathermy scissors for standard mastectomy surgery. We therefore aimed to assess scientifically the outcome of patients following the use of this instrument in their operation before accepting it as a routine procedure.
A single blind randomized control trial compared the outcome of patients undergoing simple mastectomy using either the standard scalpel blade technique or the bipolar cutting scissors technique. Each arm of the trial contained 30 patients.
The two primary outcome measures were blood loss intraoperatively and the operating time. There was a significant difference between the two groups, with a statistically significant benefit in the scissors group in terms of the secondary outcome measures of chest wall clearance and skin flap development as assessments of surgical completeness of mastectomy. There is no evidence of any other secondary outcome measures differing between the treatment groups.
There is strong evidence that using electric scissors reduces intraoperative blood loss and operating time. There is some evidence that the scissors may provide better surgical completeness of mastectomy.
该科室正在考虑在标准乳房切除术常规使用透热剪刀。因此，我们旨在科学评估患者在手术中使用该器械后的结果，然后再将其接受为常规手术。
一项单盲随机对照试验比较了采用标准手术刀技术或双极切割剪刀技术进行单纯乳房切除术的患者的结果。试验的每组包含30名患者。
两个主要结局指标是术中失血量和手术时间。两组之间存在显著差异，就乳房切除手术完整性评估的胸壁清除和皮瓣形成等次要结局指标而言，剪刀组具有统计学上的显著优势。没有证据表明治疗组之间的任何其他次要结局指标存在差异。
有强有力的证据表明，使用电动剪刀可减少术中失血量和手术时间。有一些证据表明，剪刀可能会使乳房切除术的手术完整性更好。
