title: A randomized controlled study comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer.
abstract: OBJECTIVE
  This study aimed to compare the efficacy and safety of the newest bipolar vessel sealing system (BVSS; LigaSure™ Small Jaw) to that of conventional technique in axillary dissection.
  
  
  METHODS
  Sixty-one patients with breast cancer were randomized to a conventional dissection surgical technique (CONV group; n = 30) by scalpel and monopolar cautery or that using a vessel sealing system (BVSS group; n = 31).
  
  
  RESULTS
  There was a significant difference between both groups in the mean number of days until drain removal (6.4 ± 2.9 vs. 8.2 ± 3.8 days; P value = 0.033), and the mean total volume of drainage fluid (365.3 ± 242.2 vs. 625.1 ± 446.6 mL; P value = 0.009). The incidence of seroma was similar in both groups (43.3 vs. 37.9 %; P value = 0.673). There was no statistically significant difference in axillary dissection operating time (66 vs. 70 min; P value = 0.371), or the mean volume of blood loss (18.2 ± 31.1 vs. 20.6 ± 26.3 mL; P value = 0.663).
  
  
  CONCLUSIONS
  Our results suggest that BVSS is a more effective device when compared to the conventional techniques in axillary dissection.
authors.affiliation: Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Seki
authors.affiliation: Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Hayashida
authors.affiliation: Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan.
authors.forename: Maiko
authors.initials: M
authors.lastname: Takahashi
authors.affiliation: Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan ; Department of Surgery, Teikyo University, Tokyo, Japan.
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Jinno
authors.affiliation: Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582 Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kitagawa
keywords: Axillary lymph node dissection; Breast cancer; Randomized controlled trial; Vessel sealing system