[Cost effectiveness of Ligasure Precise versus surgical clips during axillary nodal dissection for breast cancer]

Autor: K, Magri, V, Bertrand, J-L, Sautière, X, Pivot, D, Riethmuller, R, Maillet, Z, Marinkovic
Přispěvatelé: Service de gynécologie, Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Hôpital Saint-Jacques, Service d'oncologie Médicale, Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Hôpital Jean Minjoz, Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC ( HOTE GREFFON ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Etablissement français du sang [Bourgogne-France-Comté] ( EFS [Bourgogne-France-Comté] ) -Université de Franche-Comté ( UFC ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Service de Chirurgie Générale, CH Montbéliard, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Hôpital Saint-Jacques, Service d'Oncologie Médicale [CHRU Besançon], Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098) (RIGHT), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté]), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté])-Université de Franche-Comté (UFC), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (UR 3181) (CEF2P / CARCINO), Saas, Philippe
Jazyk: francouzština
Rok vydání: 2006
Předmět:
Time Factors
[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery
MESH : Retrospective Studies
Cost-Benefit Analysis
MESH: Lymphatic Metastasis
MESH: Mastectomy
MESH: Hospitalization
MESH : Breast Neoplasms
MESH: Hemostasis
Surgical
MESH: Length of Stay
[ SDV.CAN ] Life Sciences [q-bio]/Cancer
Postoperative Complications
MESH: Postoperative Complications
MESH : Female
[ SDV.MHEP.CHI ] Life Sciences [q-bio]/Human health and pathology/Surgery
MESH : Ligation
Mastectomy
health care economics and organizations
MESH: Treatment Outcome
MESH : Lymphatic Metastasis
Hospitalization
MESH : Length of Stay
Treatment Outcome
Lymphatic Metastasis
Drainage
MESH : Hospitalization
Female
MESH : Cost-Benefit Analysis
MESH: Axilla
MESH : Mastectomy
MESH : Time Factors
Breast Neoplasms
[SDV.CAN]Life Sciences [q-bio]/Cancer
[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery
MESH : Treatment Outcome
MESH : Lymph Node Excision
MESH: Drainage
[SDV.CAN] Life Sciences [q-bio]/Cancer
Humans
MESH : Axilla
Ligation
Retrospective Studies
MESH: Humans
MESH: Lymph Node Excision
MESH: Time Factors
MESH : Humans
MESH: Retrospective Studies
Length of Stay
MESH: Ligation
Hemostasis
Surgical
MESH : Drainage
MESH : Hemostasis
Surgical
Axilla
Lymph Node Excision
MESH : Postoperative Complications
MESH: Female
MESH: Breast Neoplasms
MESH: Cost-Benefit Analysis
Zdroj: Journal de Gynécologie Obstétrique et Biologie de la Reproduction
Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Elsevier Masson, 2006, 35 (4), pp.341-347
ISSN: 0368-2315
Popis: International audience; Introduction. The techniques used for axillary node dissection are constantly evolving. The advent of the grip Ligasure Precise raise the question of its cost-effectiveness compared with surgical clips. OBJECTIVE: To compare the effectiveness of Ligasure compared with surgical clips for simple axillary node dissection or Patey procedure in terms of duration of drainage, cost of hospitalization and complications. MATERIAL: and method. Retrospective study extending from January 1, 2003 to December 31, 2004, concerning 187 patients who underwent simple axillary dissection (100) or Patey procedure (87), with use of surgical clips or Ligasure followed by drainage. RESULTS: The use of Ligasure increased the operative cost because its price is higher than that of a clip grip with a refill. Ligasure significantly decreased the duration of drainage in the two groups but there was significantly more abundant fluid loss in the dissection group. The cost of hospitalization related to the choice of the technique of hemostasis (cost of the material + lasted of drainage X price of the day of hospitalization), was not significantly favor of Ligasure. Taking into account the choice of the hemostasis technique and the total duration of hospitalization (material cost + duration of hospitalization X price of the day of hospitalization), there is no significant difference between the two groups. CONCLUSION: This study compares grip Ligasure Precise with surgical clips for axillary dissection. The duration of drainage was significantly shorter with Ligasure Precise but its benefit in terms of fluid loss remains to be shown. The use of Ligasure does not significantly reduce the cost of hospitalization.
Databáze: OpenAIRE
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