Eco-logistical comparison of non-radioactive seeds and the wire-guided localization for intraoperative detection of breast lesions.

Autor: Lukac S; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany. Electronic address: stefan.lukac@uniklinik-ulm.de., Leinert E; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Kühn T; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany; Department of Gynecology and Obstectrics, Die Filderklinik, Im Haberschlai 7, 70794, Filderstadt, Germany., Dayan D; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Ebner F; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Pfister K; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Schäffler H; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Veselinovic K; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Janni W; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany., Hiete M; Institute of Theoretical Chemistry, Business Chemistry, Ulm University, Helmholtzstr. 18, 89081, Ulm, Germany., Fink V; Department of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstr. 43, 89075, Ulm, Germany.
Jazyk: angličtina
Zdroj: European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [Eur J Surg Oncol] 2025 Jan; Vol. 51 (1), pp. 108779. Date of Electronic Publication: 2024 Oct 22.
DOI: 10.1016/j.ejso.2024.108779
Abstrakt: Background: The current standard for the preoperative marking of non-palpable breast lesions is wire guided localization (WGL) which is associated with logistical efforts and patient discomfort. Non-radioactive seeds (NRS) recently challenged the use of WGL; but do they provide a better alternative from a logistical and environmental perspective?
Methods: WGL standard was compared with NRS available in Germany: Magseed®, Pintuition®, SAVI SCOUT ® and LOCalizer™ on a logistical and carbon-footprinting basis. In the logistical analysis the number of patient contacts with the healthcare system for lesion localization/removal and the number of breast punctures were evaluated in two different clinical scenarios (primary surgery and secondary surgery after neoadjuvant treatment). The carbon footprints of WGL and NRS (with exception of LOCalizer) were assessed based on their material compositions and operating energy in a streamlined approach.
Results: Application of NRS reduces the number of contacts by 33.3 % (2 vs. 3) in primary, by 50 % (2 vs. 4) in secondary surgery, and the number of breast punctures by 33.3 % (2 vs.3). Annual Germany-wide material- and energy-based carbon footprints of NRS (1.6-3.2 tons CO 2 eq) are significantly lower in comparison to WGL (10.3 tons CO 2 eq). The implementation of NRS would lead to a CO 2 eq reduction by around 79 % compared to WGL.
Conclusions: The use of NRS for the localization of non palpable breast lesions is more favorable from the environmental and logistical perspective, when compared to WGL with possible benefits for patients, healthcare providers and the environment.
Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Thorsten Kuehn reports a relationship with Merit Medical Systems, Hologic, Sirius Medical Systems, and Endomag that includes: consulting or advisory and speaking and lecture fees. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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