About this trial
The efficacy of electrosurgical bipolar systems in axillary lymph node dissection for breast cancer surgery is well known. In this study, the investigators aim to determine whether using electrosurgical bipolar systems helps reduce seroma formation in high-risk patients undergoing sentinel lymph node biopsy (SLNB) for breast cancer surgery. The investigators will focus on patients who are expected to experience high drainage output after SLNB, especially those who are obese (BMI\>25) or have undergone preoperative chemotherapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged 20-80
Candidates for breast-conserving surgery and axillary sentinel lymph node biopsy
BMI over 25 or those who have received preoperative chemotherapy
Overall performance status of Eastern Cooperative Oncology Group (ECOG) 0-2
Disqualifiers
Those with suspected axillary lymph node enlargement or metastasis on preoperative imaging (breast MRI, chest CT, breast ultrasound)
Among patients who had confirmed lymph node metastasis before neoadjuvant chemotherapy, whose preopreative image showed residual disease at axillary lymph node
Those planning for mastectomy
Those planning for axillary lymph node dissection without SLNBx
Trial design
Parallel
Treatments tested in this trial
Electrosurgical bipolar system (LigaSure)
DeviceStudy participants using a electrosurgical bipolar energy system will undergo sentinel lymph node biopsy using only LigaSure during the surgery.
Treatment groups
Trial outcomes
Primary outcomes
Drainage amount
Total drainage amount from axilla after surgery (ml)
Secondary outcomes
Drainage amount during admission
Total drainage amount from axilla before discharge (ml)
Operation time
Operation time during axillar surgery (min)
Complication
Complications of axilla
Draine removal days
Days before drain removal (days)
Sponsors and contacts
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