Related Experiment Video
Updated: May 14, 2026
Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
Published on: April 3, 2026
[Does the use of TachoSil allow to reduce the morbidity of axillary dissection?]
C Lacoste1, L Ouldamer, G Body
1Service de chirurgie et d'oncologie gynécologique, pôle de gynécologie obstétrique, médecine fœtale, médecine et biologie de la reproduction, faculté de médecine de Tours, université François-Rabelais, hôpital Bretonneau, centre hospitalo-universitaire de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 1, France.
Abstract:
The lymphocele is the most frequently encountered complication after axillary dissection performed for breast cancer (15-81%). This study compares the efficacy of a lympho-hemostatic combipatch TachoSil(®) versus conventional implementation of a suction drain on the incidence and severity of lymphoceles. This is a case (group TachoSil(®)n=20) control (drainage group) n=40 study. In our study, we demonstrated an increased rate of postoperative complications (<3weeks) in the group TachoSil(®) (P=0.0265) explained by a lymphocele rate significantly higher (P=0.0194). However, no significant difference was demonstrated on the severity of these lymphoceles. Beyond 3weeks postoperatively, the two groups were comparable in terms of postoperative complications. The TachoSil(®) does not prevent the formation of seroma but their severity is not increased. In addition, it reduces of more than 48hours the duration of hospitalization stay (P=0.002).
