Chiappa Corrado, Fachinetti Anna, Boeri Carlo, Arlant Veronica, Rausei Stefano, Dionigi Gianlorenzo, Rovera Francesca
First Division of Surgery - Senology Research Center, Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy.
Department of Human Pathology in Adulthood and Childhood "G. Barresi" University Hospital - Policlinico "G. Martino" - The University of Messina, Messina, Italy.
Ann Surg Treat Res. 2018 Sep;95(3):129-134. doi: 10.4174/astr.2018.95.3.129. Epub 2018 Aug 31.
PEAK PlasmaBlade is a recent and distinctive type of electrosurgical device. Previous studies have already documented some meaningful advantages of this device over conventional electrosurgery. This study compared the use of PEAK PlasmaBlade to standard electrosurgery in mastectomy and breast conservative surgery. The purpose was to test the impact of PEAK PlasmaBlade on the wound-healing process and on postsurgical complications in breast cancer surgery.
Sixty patients undergoing breast cancer surgery were enrolled. The PEAK PlasmaBlade was used for 20 of those. A standard electrosurgical device was used for the other 40 patients. The 2 groups were homogenous in age, body mass index, comorbidities and type of surgery. We recorded wound complications, serum drainage amount and duration of stay, blood loss, time of surgery, length of hospital stay, and total number of medications required.
The 2 groups were not significantly different in terms of patient characteristics. A statistically significant reduction in incidence of seroma was observed in the PEAK group: only 10% versus 37.5% of the patients in the conventional electrosurgery group developed this complication (Fisher exact test, P = 0.034).
Seroma is the most important wound complication in breast surgery. The research of new instruments that might reduce its incidence is desirable. In order to validate or deny the results of this study, it is necessary to enroll more subjects and to consider the impact of this device on axillary lymph node dissection.
PEAK 等离子手术刀是一种新型且独特的电外科设备。先前的研究已经记录了该设备相对于传统电外科手术的一些显著优势。本研究比较了 PEAK 等离子手术刀与标准电外科手术在乳房切除术和保乳手术中的应用。目的是测试 PEAK 等离子手术刀对乳腺癌手术伤口愈合过程和术后并发症的影响。
招募了 60 名接受乳腺癌手术的患者。其中 20 名使用 PEAK 等离子手术刀，另外 40 名患者使用标准电外科设备。两组在年龄、体重指数、合并症和手术类型方面具有同质性。我们记录了伤口并发症、血清引流量和持续时间、失血量、手术时间、住院时间以及所需药物的总数。
两组在患者特征方面无显著差异。在 PEAK 组中观察到血清肿发生率有统计学意义的降低：传统电外科手术组中发生该并发症的患者仅为 10%，而传统电外科手术组为 37.5%（Fisher 精确检验，P = 0.034）。
血清肿是乳腺手术中最重要的伤口并发症。研究可能降低其发生率的新器械是有必要的。为了验证或否定本研究的结果，有必要纳入更多受试者并考虑该设备对腋窝淋巴结清扫的影响。
