Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama
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| Formato: | Artículo científico |
| Lenguaje: | es |
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Sociedad de Cirujanos de Chile
2013
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| _version_ | 1876438818646654976 |
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| author | JAIME RUIZ-TOVAR P. |
| author_facet | JAIME RUIZ-TOVAR P. |
| contents | Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama JAIME RUIZ-TOVAR P. PILAR CANSADO M. MARÍA AMPARO GÓMEZ C. MONTSERRAT PÉREZ S. LOREA ZUBIAGA T. MARÍA DIE TZ. RAFAEL CALPENA R. Medicina Lymphorrhea drainage volume axillary lymph node dissection Introduction: Axillary lymph node dissection (ALND) is still a usual procedure in the treatment of breast cancer. A drain is normally placed in the surgical bed and maintained several days until obtaining a daily discharge of 30-50 ml, in order to reduce the appearance of seroma. The aim of this study was to analyze possible factors associated with an increased drainage volume. Patients and Methods: A retrospective study of all the patients undergoing ALND for breasts cancer at our institution between 2011 and 2012 was per - formed. Results: 40 females were included. There were no complications or mortality. Median hospital stay was 2 days. Median day of drainage removal was the 5th postoperative day. Mean total drainage volume was 298.9 ± 240.1 ml. High blood pressure associated with an increased drainage volume (550 ml vs 217.5 ml; p = 0.001) and a later removal (8 th vs 4 th day; p = 0.002). Similar happened with age > 65 years (420.8 ml vs 24.6 ml; p = 0.003) and (7th vs 5 th day; p = 0.009). The number of metastatic lymph nodes showed a di - rect correlation with total drainage volume (Pearson 0.503; p = 0.017) and removal day (Spearman 0.563; p = 0.006), similar to the primary tumour size: Total drainage volume (Pearson 0.447; p = 0.042) and removal day (Spearman 0.556; p = 0.009). Conclusion: Age over 65 years, high blood pressure, number of metastatic lymph nodes and primary tumour size associated with a higher drainage volume and time to remove the drain. 2013 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531962007 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.5 Vol.65 |
| format | Artículo científico |
| id | redalyc_345531962007 |
| institution | Redalyc |
| language | es |
| publishDate | 2013 |
| publisher | Sociedad de Cirujanos de Chile |
| spellingShingle | Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama JAIME RUIZ-TOVAR P. Medicina Lymphorrhea drainage volume axillary lymph node dissection Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama JAIME RUIZ-TOVAR P. PILAR CANSADO M. MARÍA AMPARO GÓMEZ C. MONTSERRAT PÉREZ S. LOREA ZUBIAGA T. MARÍA DIE TZ. RAFAEL CALPENA R. Medicina Lymphorrhea drainage volume axillary lymph node dissection Introduction: Axillary lymph node dissection (ALND) is still a usual procedure in the treatment of breast cancer. A drain is normally placed in the surgical bed and maintained several days until obtaining a daily discharge of 30-50 ml, in order to reduce the appearance of seroma. The aim of this study was to analyze possible factors associated with an increased drainage volume. Patients and Methods: A retrospective study of all the patients undergoing ALND for breasts cancer at our institution between 2011 and 2012 was per - formed. Results: 40 females were included. There were no complications or mortality. Median hospital stay was 2 days. Median day of drainage removal was the 5th postoperative day. Mean total drainage volume was 298.9 ± 240.1 ml. High blood pressure associated with an increased drainage volume (550 ml vs 217.5 ml; p = 0.001) and a later removal (8 th vs 4 th day; p = 0.002). Similar happened with age > 65 years (420.8 ml vs 24.6 ml; p = 0.003) and (7th vs 5 th day; p = 0.009). The number of metastatic lymph nodes showed a di - rect correlation with total drainage volume (Pearson 0.503; p = 0.017) and removal day (Spearman 0.563; p = 0.006), similar to the primary tumour size: Total drainage volume (Pearson 0.447; p = 0.042) and removal day (Spearman 0.556; p = 0.009). Conclusion: Age over 65 years, high blood pressure, number of metastatic lymph nodes and primary tumour size associated with a higher drainage volume and time to remove the drain. 2013 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531962007 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.5 Vol.65 |
| title | Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama |
| topic | Medicina Lymphorrhea drainage volume axillary lymph node dissection |
| url | https://www.redalyc.org/articulo.oa?id=345531962007 |