Document Detail

Axillary lymphadenectomy for breast cancer without axillary drainage.
MedLine Citation:
PMID:  7632155     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate axillary lymph node dissection done without closed drainage in conjunction with breast conservation cancer surgery. DESIGN: Prospective clinical study. SETTING: Two university hospitals. PATIENTS: Eighty-one women undergoing wide local excision of breast cancer with simultaneous or subsequent axillary lymph node dissection. INTERVENTIONS: No axillary drain was placed following axillary lymphadenectomy. MAIN OUTCOME MEASURES: The development and resorption of axillary seroma fluid as measured by clinical aspiration and serial sonographic examination. RESULTS: Thirty-four (42%) of the 81 women required axillary seroma aspiration even though axillary fluid was present in 92% (22/24) of those studied sonographically. The seromas accumulated over the first 2 weeks following axillary dissection and resorbed over the next 2 weeks, as assessed by both clinical and sonographic examination. The complication rate was 2% (2/81). The surgery was performed safely on an outpatient or short-stay basis in 99% (80/81) of patients. All patients except one were discharged within 23 hours of surgery, and 56 patients were discharged directly after anesthesia. CONCLUSION: Axillary lymph node dissection done in conjunction with breast conservation surgery can be performed in an ambulatory or short-stay setting without axillary drainage. Postoperative seromas will resolve within 1 month, and fewer than half will require aspiration. Lymphadenectomy without drainage reduces morbidity and allows the patient greater personal comfort.
S S Jeffrey; W H Goodson; D M Ikeda; R L Birdwell; M S Bogetz
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  130     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-09-07     Completed Date:  1995-09-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  909-12; discussion 912-3     Citation Subset:  AIM; IM    
Department of Surgery, Stanford University School of Medicine, Calif, USA.
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MeSH Terms
Ambulatory Surgical Procedures
Breast Neoplasms / surgery*
Carcinoma / surgery*
Lymph Node Excision / adverse effects,  methods*
Mastectomy, Segmental / adverse effects,  methods*
Middle Aged
Prospective Studies
Comment In:
Arch Surg. 1996 Jun;131(6):677   [PMID:  8645082 ]

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