Skip to main content

Table 3 Clinicopathological factors related to prolonged fluid discharge after total mastectomy with axillary lymph node dissection

From: Impact of the surgical modality for axillary lymph node dissection on postoperative drainage and seroma formation after total mastectomy

Factor

Group

No

Yes

p-value

Number of patients

 

117

52

 
 

mean (sd)

mean (sd)

 

Age

 

61.6 (11.8)

62.5 (10.9)

0.636

Body mass index

 

22.6 (3.82)

24.6 (4.6)

0.005

Preoperative chemotherapy

No

110 (94.0)

51 (98.1)

0.437

Yes

7 (6.0)

1 (1.9)

 

Site of breast tumor (%)

Right

63 (53.8)

28 (53.8)

1

Left

54 (46.2)

24 (46.2)

 

Number of tumors

Multiple

8 (6.8)

6 (11.5)

0.366

Single

109 (93.2)

46 (88.5)

 

Weight of specimen

 

410.9 (196.9)

535.7 (270.0)

0.001

Size

 

30.9 (17.3)

30.6 (16.1)

0.892

Level of axillary lymph node dissection (%)

Ax I

40 (34.2)

10 (19.2)

0.066

Ax II

56 (47.9)

26 (50.0)

 

Ax III

21 (17.9)

16 (30.8)

 

Number of lymph nodes retrieved

 

14.8 (7.4)

14.5 (6.4)

0.77

Number of metastatic lymph nodes

 

1.6 (3.5)

2.4 (4.5)

0.226

Volume of drainage during 1 week

 

506.0 (244.9)

773.7 (265.0)

< 0.001

Total fluid discharge volume

 

1161.7 (615.1)

2048.0 (794.8)

< 0.001

Drainage volume the day before drain removal

 

17.2 (8.3)

23.2 (11.1)

< 0.001

seroma formation (%)

No

117 (100.0)

19 (36.5)

< 0.001

Yes

0 (0.0)

33 (63.5)

 

Re-drainage (%)

No

117 (100.0)

50 (96.2)

0.093

Yes

0 (0.0)

2 (3.8)

 

Lymph edema of the upper limbs (%)

No

102 (87.2)

47 (90.4)

0.617

Yes

15 (12.8)

5 (9.6)

 

Surgical modality

Group D

41 (35.0)

5 (9.6)

0.001

Group A

48 (41.0)

26 (50.0)

 

Group B

28 (23.9)

21 (40.4)

 
  1. No: no prolonged drainage or seroma formation after the 20th operative day or later
  2. Yes: prolonged drainage or seroma formation after the 20th operative day or later
  3. Group D: skin flap formation by electrocautery and axillary lymph node dissection by picking up using forceps and ligation (Surgeon D)
  4. Group A: skin flap formation by electrocautery and axillary lymph node dissection by electrocautery with ligation of the arteries and veins (Surgeons A, C and E)
  5. Group B: skin flap formation by electrocautery and axillary lymph node dissection by ultrasonic dissector without ligating the vessels (Surgeon B)