Feasibility of Day Surgery in Patients With Breast Conservation and Sentinel Node Biopsy: A Randomized Controlled Trial

Autor: Tuomo J. Meretoja, Anne M. Eklund, Marjut Leidenius, Jaana Vironen, Kristiina Mattila, K. Ojala
Přispěvatelé: Department of Surgery, Clinicum, Department of Diagnostics and Therapeutics, Anestesiologian yksikkö, II kirurgian klinikka
Rok vydání: 2015
Předmět:
medicine.medical_treatment
Mastectomy
Segmental
law.invention
Breast cancer
0302 clinical medicine
Randomized controlled trial
law
Breast-conserving surgery
030212 general & internal medicine
medicine.diagnostic_test
Middle Aged
Sentinel node
AMBULATORY SURGERY
3. Good health
Treatment Outcome
Patient Satisfaction
030220 oncology & carcinogenesis
Female
Patient Safety
Mastectomy
Adult
medicine.medical_specialty
Breast Neoplasms
IDENTIFICATION RATE
sentinel node biopsy
breast conserving surgery
03 medical and health sciences
MASTECTOMY
Biopsy
medicine
Humans
In patient
CANCER PATIENTS
Aged
Neoplasm Staging
day surgery
Breast conservation
Sentinel Lymph Node Biopsy
business.industry
General surgery
10981-22023 AMAROS TRIAL
3126 Surgery
anesthesiology
intensive care
radiology
medicine.disease
Surgery
Ambulatory Surgical Procedures
AXILLARY DISSECTION
Feasibility Studies
business
Zdroj: Scandinavian Journal of Surgery. 105:29-34
ISSN: 1799-7267
1457-4969
Popis: Background and Aims: The aim of this study was to analyze feasibility of day surgery in breast cancer patients with breast conserving surgery and sentinel node biopsy. Material and Methods: The study was a randomized controlled trial comparing day surgery with one night hospital stay in breast cancer patients with breast conserving surgery and sentinel node biopsy. A total of 40 patients with ⩽3-cm tumor and clinically N0 were randomized to one night stay group and 38 patients to day surgery group. Within discharge, patients and their relatives were given questionnaires in order to evaluate their experience regarding the duration of hospital stay. Results: Randomized groups were similar regarding patient age and tumor stage. A total of 18 (47%) day surgery group patients were discharged the same day. The most common reason for overnight hospital stay was axillary clearance, 9 (24%). None of the patients in the day surgery group, but 2 patients in the overnight hospital stay group had re-operation due to complications. Perception and preference results were analyzed both according to randomization and actual treatment groups. Patients in both groups had rather similar experiences on the first postoperative day. Also, spouse’s or relative’s perception after discharge was similar in both groups. Conclusion: Day surgery was well received by the patients and their relatives. Day surgery appears as feasible in patients with breast conservation and sentinel node biopsy.
Databáze: OpenAIRE
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