Usefulness of cordless ultrasonic cutting energy devices in endoscopic nipple-sparing mastectomy: a retrospective study.

IF 1.2 4区 医学 Q3 SURGERY Annals of Surgical Treatment and Research Pub Date : 2024-03-01 Epub Date: 2024-02-22 DOI:10.4174/astr.2024.106.3.147
Byeongju Kang, Heejung Keum, Ho Yong Park, Jin Hyang Jung, Wan Wook Kim, Jeeyeon Lee
{"title":"Usefulness of cordless ultrasonic cutting energy devices in endoscopic nipple-sparing mastectomy: a retrospective study.","authors":"Byeongju Kang, Heejung Keum, Ho Yong Park, Jin Hyang Jung, Wan Wook Kim, Jeeyeon Lee","doi":"10.4174/astr.2024.106.3.147","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Endoscopic nipple-sparing mastectomy (E-NSM) is a minimally invasive surgical technique that shows good results in patients with breast cancer. The authors compared 3 different types of commercial energy devices to examine their efficacy and safety in E-NSM performed with breast reconstruction.</p><p><strong>Methods: </strong>A total of 36 cases of E-NSM were conducted with either Sonicision (S group, n = 11), Harmonic (H group, n = 6), or Thunderbeat (T group, n = 19). The clinicopathologic factors and postoperative complications, including nipple or skin necrosis and surgical site seroma volume, were evaluated for 3 months after surgery.</p><p><strong>Results: </strong>The surgical duration of E-NSM was significantly shorter in the S group than in the H group (P = 0.043) and T group (P = 0.037). However, the total surgical duration including E-NSM and breast reconstruction, and the total and daily drainage volume of postoperative seroma did not differ significantly among the 3 groups. Even when the energy devices were compared according to their working principle, i.e., ultrasonic (S and H) <i>vs.</i> hybrid (T), the total breast surgery duration and total and daily drainage volume of seroma showed no difference between the 2 groups. Although surgeon satisfaction did not significantly differ when using 3 devices for E-NSM (P = 0.428), surgeon's fatigue was found to be lowest in the S group, though it was not significant (P = 0.064).</p><p><strong>Conclusion: </strong>Any energy device can be safely used for E-NSM with breast reconstruction without causing any major complications. However, cordless ultrasonic energy devices allow greater mobility for the surgeon and, therefore, may shorten surgical time in breast surgery.</p>","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"106 3","pages":"147-154"},"PeriodicalIF":1.2000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902625/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Surgical Treatment and Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4174/astr.2024.106.3.147","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Endoscopic nipple-sparing mastectomy (E-NSM) is a minimally invasive surgical technique that shows good results in patients with breast cancer. The authors compared 3 different types of commercial energy devices to examine their efficacy and safety in E-NSM performed with breast reconstruction.

Methods: A total of 36 cases of E-NSM were conducted with either Sonicision (S group, n = 11), Harmonic (H group, n = 6), or Thunderbeat (T group, n = 19). The clinicopathologic factors and postoperative complications, including nipple or skin necrosis and surgical site seroma volume, were evaluated for 3 months after surgery.

Results: The surgical duration of E-NSM was significantly shorter in the S group than in the H group (P = 0.043) and T group (P = 0.037). However, the total surgical duration including E-NSM and breast reconstruction, and the total and daily drainage volume of postoperative seroma did not differ significantly among the 3 groups. Even when the energy devices were compared according to their working principle, i.e., ultrasonic (S and H) vs. hybrid (T), the total breast surgery duration and total and daily drainage volume of seroma showed no difference between the 2 groups. Although surgeon satisfaction did not significantly differ when using 3 devices for E-NSM (P = 0.428), surgeon's fatigue was found to be lowest in the S group, though it was not significant (P = 0.064).

Conclusion: Any energy device can be safely used for E-NSM with breast reconstruction without causing any major complications. However, cordless ultrasonic energy devices allow greater mobility for the surgeon and, therefore, may shorten surgical time in breast surgery.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
无绳超声波切割能量装置在内窥镜乳头保留切除术中的应用:一项回顾性研究。
目的:内窥镜乳头保留乳房切除术(ESM)是一种微创手术技术,在乳腺癌患者中显示出良好的效果。作者比较了 3 种不同类型的商用能量设备,以研究它们在进行乳房重建的 E-NSM 中的有效性和安全性:共有 36 例 E-NSM 使用 Sonicision(S 组,n = 11)、Harmonic(H 组,n = 6)或 Thunderbeat(T 组,n = 19)。术后 3 个月对临床病理因素和术后并发症(包括乳头或皮肤坏死和手术部位血清肿胀)进行评估:结果:S 组 E-NSM 的手术时间明显短于 H 组(P = 0.043)和 T 组(P = 0.037)。然而,包括 E-NSM 和乳房重建在内的总手术时间以及术后血清肿物的总引流量和日引流量在 3 组之间没有明显差异。即使根据能量设备的工作原理(即超声波(S 和 H)与混合动力(T))进行比较,两组之间的乳房手术总持续时间、血清肿物总引流量和每日引流量也没有差异。虽然在使用 3 种设备进行 E-NSM 时,外科医生的满意度没有明显差异(P = 0.428),但 S 组外科医生的疲劳度最低,尽管差异不显著(P = 0.064):结论:任何能量设备都可以安全地用于乳房再造的 E-NSM 而不会引起任何重大并发症。结论:任何能量设备都可以安全地用于乳房再造的 E-NSM 而不会引起任何重大并发症。不过,无绳超声能量设备使外科医生有更大的机动性,因此可以缩短乳房手术的时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.30
自引率
7.10%
发文量
75
期刊介绍: Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).
期刊最新文献
A randomized controlled trial comparing liquid skin adhesives and staplers for surgical wound management. A single center experience on clinical outcome of fundoplication in pediatric patients: a retrospective cohort study. Enhancing recurrent laryngeal nerve localization during transoral endoscopic thyroid surgery using augmented reality: a proof-of-concept study. Prognostic value of admission base excess in postoperative outcomes of aortic dissection patients: a retrospective cohort analysis. Safety and effectiveness of direct oral anticoagulants in fragile patients with venous thromboembolism: a retrospective cohort observational study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1