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Surgery Today

, Volume 40, Issue 8, pp 706–710 | Cite as

BiClamp forceps significantly shorten the operation time for breast surgery

  • Hideki Takeuchi
  • Toshiaki Saeki
  • Takashi Shigekawa
  • Hiroshi Sano
  • Noriko Nakamiya
  • Kazuo Matsuura
  • Misono Misumi
  • Takao Takahashi
  • Nobuko Fujiuchi
  • Katsuhiko Okubo
  • Akihiko Osaki
  • Takaki Sakurai
  • Isamu Koyama
Original Article

Abstract

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.

Key words

Vessel sealing Thermofusion Axillary lymph node dissection Breast surgery 

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Copyright information

© Springer 2010

Authors and Affiliations

  • Hideki Takeuchi
    • 1
  • Toshiaki Saeki
    • 1
  • Takashi Shigekawa
    • 1
  • Hiroshi Sano
    • 1
  • Noriko Nakamiya
    • 1
  • Kazuo Matsuura
    • 1
  • Misono Misumi
    • 1
  • Takao Takahashi
    • 1
  • Nobuko Fujiuchi
    • 1
  • Katsuhiko Okubo
    • 1
  • Akihiko Osaki
    • 1
  • Takaki Sakurai
    • 2
  • Isamu Koyama
    • 3
  1. 1.Department of Breast OncologySaitama Medical UniversitySaitamaJapan
  2. 2.Department of PathologySaitama Medical UniversitySaitamaJapan
  3. 3.Department of Digestive and General Surgery, Saitama International Medical CenterSaitama Medical UniversitySaitamaJapan

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