Value of Vessel Sealing System in Skin-Sparing Mastectomy in Patients with Early Breast Cancer

Jun Hirano, Satoki Kinoshita, Takashi Kazama, Naoko Shimada, Ryo Miyake, Ken Uchida and Hiroshi Takeyama

Department of Surgery, Jikei University School of Medicine, Japan

^*Correspondance to: Satoki Kinoshita 

 PDF  Full Text DOI: 10.25107/2474-1647.2055

Abstract

Purpose: Skin-Sparing Mastectomy (SSM) with immediate breast reconstruction is generally chosen to achieve radical cure with favorable cosmetic outcome in patients with breast cancer, but some skin approaches limit exposure of the surgical field. We evaluated our results using a Vessel Sealing System (VSS) to determine if its use counterbalanced limitations associated with these approaches.Methods: We retrospectively reviewed records of 365 consecutive patients with breast cancer who underwent mastectomy between February 2007 and August 2017 to identify 148 cases that employed either of 2 skin approaches-a periareolar incision with midaxillary line incision or areola-sparing incision with midaxillary line incision.Results: We divided cases into 2 groups of 74 each that either did or did not employ the VSS system and observed significant differences between the groups in intraoperative hemorrhage (214 g vs. 106 g, p<0.000), length of midaxillary line incision scar (136 mm vs. 86 mm, p<0.000), and postoperative hospital stay (14.9 days vs. 10.9 days, p<0.000), findings that suggested the system’s use improved outcomes.Conclusions: Significant advantages using the vessel sealing system in skin-sparing mastectomy compensated for drawbacks associated with inadequate operative field exposure with some approaches.

Keywords

Breast cancer; Skin-sparing mastectomy; Vessel sealing system

Cite the article

Hirano J, Kinoshita S, Kazama T, Shimada N, Miyake R, Uchida K, et al. Value of Vessel Sealing System in Skin-Sparing Mastectomy in Patients with Early Breast Cancer. Clin Surg. 2018; 3: 2055.