BiClamp forceps significantly shorten the operation time for breast surgery

Purpose A novel approach was introduced for breast surgery using the BiClamp, a new bipolar thermal energy device, to avoid complications and to shorten the time required for the dissection of the axillary lymph nodes. Methods Thirty-six patients with early breast cancer were assessed. The surgical...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2010-08, Vol.40 (8), p.706-710
Main Authors: Takeuchi, Hideki, Saeki, Toshiaki, Shigekawa, Takashi, Sano, Hiroshi, Nakamiya, Noriko, Matsuura, Kazuo, Misumi, Misono, Takahashi, Takao, Fujiuchi, Nobuko, Okubo, Katsuhiko, Osaki, Akihiko, Sakurai, Takaki, Koyama, Isamu
Format: Article
Language:English
Subjects:
Axilla - surgery
Breast - surgery
Breast Neoplasms - surgery
Female
Hot Temperature - therapeutic use
Humans
Ligation - instrumentation
Ligation - methods
Lymph Node Excision - instrumentation
Lymph Node Excision - methods
Lymph Nodes - surgery
Medicine
Medicine & Public Health
Middle Aged
Original Article
Surgery
Surgical Instruments
Surgical Oncology
Suture Techniques - instrumentation
Time Factors
Treatment Outcome
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Summary:Purpose A novel approach was introduced for breast surgery using the BiClamp, a new bipolar thermal energy device, to avoid complications and to shorten the time required for the dissection of the axillary lymph nodes. Methods Thirty-six patients with early breast cancer were assessed. The surgical parameters were compared between the procedures performed using the BiClamp technique ( n = 14) and conventional surgery with suture ligation ( n = 22). The parameters included the operation time, blood loss, and discharge on the first postoperative day. In addition, each of those parameters was compared between the patients with a high body mass index (BMI) (>22) and a low BMI (≤22). The sealed vessels were examined histologically and heat-associated morphological vessel wall alterations were evaluated. Results The operation time was significantly shorter in the BiClamp group than in the control group ( P = 0.017, 90 ± 18 vs 115 ± 33 min). In addition, the blood loss in the BiClamp group tended to be smaller than in the control group, but the difference was not significant ( P = 0.54, 61 ± 47 vs 74 ± 67 g). No other parameters showed any significant differences between the two groups. Conclusion The BiClamp thermofusion technique was safe and useful in breast surgery involving axillary dissection.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-009-4118-2