Home > Riviste > Minerva Chirurgica > Fascicoli precedenti > Minerva Chirurgica 2020 April;75(2) > Minerva Chirurgica 2020 April;75(2):111-6

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

ORIGINAL ARTICLE   

Minerva Chirurgica 2020 April;75(2):111-6

DOI: 10.23736/S0026-4733.19.08114-8

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Reduction of postoperative lymphorrhoea in patients undergoing radical lymphadenectomy for stage III melanoma: prospective study using collagen-fibrin patches

Piero COVARELLI 1 , Francesco BARBERINI 1, Daniele CANNAVICCI 1, Roberto CIROCCHI 1, Antonio RULLI 1, Carlo BOSELLI 1, Vincenzo DE GIORGI 2

1 Department of Oncologic Surgery, S. Maria della Misericordia Hospital, University of Perugia, Perugia, Italy; 2 Department of Dermatology, University of Florence, Florence, Italy



BACKGROUND: Radical lymph nodes dissection (RLND) is the standard procedure for regional control of disease in patients with metastatic melanoma (stage III). Because of its aggressiveness, lymphorrhoea is a constant problem in postoperative.
METHODS: In this prospective nonrandomized study with a retrospective analysis of data, patients undergoing surgical treatment of axillary or iliac-inguinal RLND received standard treatment plus a collagen-fibrin sealant patch (TachoSil) (N.=50) or standard treatment alone (N.=50). The first endpoint was the comparison between the treated population and the control group, in terms of persistence of drainage and average daily volume of lymphorrhoea. The second aim was to relate patients’ BMI, volume of lymphorrhoea and time of drainage in the two groups.
RESULTS: In the comparison between the two groups receiving or not the treatment with collagen-fibrin patch, we found an average difference both in the volume of daily lymphorrhoea (42.91±6.61 cc) and in the persistence of drainage (9.292±1.644 days) with P value <0.0001. Besides, the collagen-fibrin patch was actually effective in reducing lymphorrhoea and time of drainage, regardless of patients’ BMI.
CONCLUSIONS: The results of this study confirm and support the starting thesis: TachoSil is an effective tissue sealant able to reduce lymphorrhoea and drainage removal times following a radical lymphadenectomy, independently from the BMI.


KEY WORDS: Melanoma; Surgery; Lymph node excision

inizio pagina