Uslukaya Ömer, Türkoğlu Ahmet, Gümüş Metehan, Bozdağ Zübeyir, Yılmaz Ahmet, Gümüş Hatice, Kaya Şeyhmus, Gül Mesut
Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey.
Department of Family Medicine,, Dicle University School of Medicine, Diyarbakır, Turkey.
J Breast Health. 2016 Jul 1;12(3):102-106. doi: 10.5152/tjbh.2016.3070. eCollection 2016 Jul.
The most common procedure to prevent seroma formation, a common complication after breast and axillary surgery, is to use prophylactic surgical drains. Ongoing discussions continue regarding the ideal time for removing drains after surgical procedures. In this study, we aimed to investigate factors that affect drain indwelling time (DIT).
From 2014 to 2015, a total of 91 consecutive patients with breast cancer were included in the study. The demographic characteristics of the patients, treatment methods, histopathologic features of the tumor, size of removed breast tissue (BS), tumor size (TS), number of totally removed lymph nodes (TLN), and metastatic lymph nodes (MLN), whether they had neoadjuvant chemotherapy, and the DIT were retrospectively recorded from the hospital database.
The mean age of the patients was 48.9 years, and the mean DIT was 4.8 days. The mean size of breast removed was 17.3 cm and tumor size was 4.7 cm, and the mean number of metastatic lymph nodes was 3.3, and mean total number of lymph nodes was 14.1. Patients who had neoadjuvant chemotherahpy had longer DIT. There was a positive correlation between the BS, TS, TLN, MLN, length of hospital stay, and DIT. Linear regresion analysis revealed that the BS, TLN, and history of neoadjuvant chemotherahpy were independent risk factors for DIT.
DIT primarily depends on BS, TLN, and history of neoadjuvant chemotherahpy. A policy for the management of removing drains to prevent seroma formation should thus be individualized.
预防血清肿形成（乳房和腋窝手术后的常见并发症）最常用的方法是使用预防性外科引流管。关于手术后引流管拔除的理想时间，目前仍在持续讨论。在本研究中，我们旨在调查影响引流管留置时间（DIT）的因素。
2014年至2015年，共有91例连续的乳腺癌患者纳入本研究。从医院数据库中回顾性记录患者的人口统计学特征、治疗方法、肿瘤的组织病理学特征、切除乳房组织的大小（BS）、肿瘤大小（TS）、完全切除淋巴结的数量（TLN）和转移淋巴结的数量（MLN）、是否接受新辅助化疗以及DIT。
患者的平均年龄为48.9岁，平均DIT为4.8天。切除乳房的平均大小为17.3厘米，肿瘤大小为4.7厘米，转移淋巴结的平均数量为3.3个，淋巴结的平均总数为14.1个。接受新辅助化疗的患者DIT更长。BS、TS、TLN、MLN、住院时间和DIT之间存在正相关。线性回归分析显示，BS、TLN和新辅助化疗史是DIT的独立危险因素。
DIT主要取决于BS、TLN和新辅助化疗史。因此，预防血清肿形成的引流管拔除管理策略应个体化。
