Evidence map›Paper›PMID 41608061›Full record

ArticleMolecular and clinical oncology2026

Reduction of seroma by pectoralis fascia dissection using an energy device in total mastectomy for breast cancer: An observational study.

Hiroaki Shima, Yuta Kondo, Takashi Nakamura, Daisuke Kyuno, Noriko Nishikawa, Satoko Uno, Ai Noda, Kiminori Sato, Asaka Wada, Toru Mizuguchi

Abstract read
In one paragraph

Article in Molecular and clinical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hiroaki ShimaDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Yuta KondoDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Takashi NakamuraDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Daisuke KyunoDepartment of Pathology, Sapporo Medical University, Sapporo, Hokkaido 060-8556, Japan.
Noriko NishikawaDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Satoko UnoDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Ai NodaDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Kiminori SatoDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Asaka WadaDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.
Toru MizuguchiDepartment of Surgery, Division of Breast Surgery, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seroma formation is one of the unresolved complications of breast cancer surgery. The use of energy devices (EDs) can improve breast cancer surgery outcomes. Dissection of the pectoralis fascia is an important process in total mastectomy, which involves a wide area of the posterior wall of the mammary glands. The current study investigated whether using EDs for this process could lead to a reduction in seroma formation or potentially reduce other complications. In the present observational study, the use of an ED for pectoralis fascia dissection was compared with conventional electrocautery. The main outcomes were the total amount of drainage (total AD), amount of drainage per day and adverse events (AEs) after propensity score matching (PSM). in addition, a univariate analysis of AE occurrence was performed. Overall, 41 and 117 patients were included in the ED and control groups, respectively. PSM was performed for three covariates: Presence or absence of axillary dissection, preoperative chemotherapy and body mass index >25 kg/m

Indexed as

drainageenergy devicepectoralis fascia dissectionseromasurgical site infectiontotal mastectomy

Identifiers

PMID41608061
PMCPMC12836455

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.