Abstract
Aim: To evaluate the feasibility and efficacy of outpatient surgery for early breast cancer in an Italian ambulatory setting and to assess its benefits. Patients and methods: A review of 88 women treated for breast cancer from an outpatient facility was undertaken from July 2003 to December 2006. The patients were selected for ambulatory surgery according to specific social, environmental, physical and oncological criteria. Results: Eighty-eight women underwent a total of 107 surgical interventions in an ambulatory setting. Sixty out of the eighty-eight patients (68%) received a one-day conclusive surgical treatment, and the remaining 28 patients were promptly treated in two phases. Among this latter group, 18 patients (68%) were treated only in an outpatient facility, whereas the other 10 patients require reintervention with hospitalization. There were no intraoperative complications. In the postoperative period, 14 complications were observed: 6 wound infections, 3 hematomas, 1 axillary seroma and 4 readmissions. The patients' readmissions were due to nausea and emesis in one case, disphnoea in another case, and only two readmissions were due to surgical complications (hematoma in both cases). Patients that were interviewed exhibited a high level of satisfaction from the treatments they received. Discussion: This study confirms the feasibility, efficacy and safety of the outpatient setting regime, which is highly appreciated by women and is more cost effective than surgery in a hospital setting.
| Original language | English |
|---|---|
| Journal | International Journal of Surgery |
| Volume | 6 |
| Issue number | SUPPL. 1 |
| DOIs | |
| Publication status | Published - 2008 |
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Keywords
- Ambulatory surgery
- Breast cancer
- Outpatient surgery
ASJC Scopus subject areas
- Surgery
Cite this
Breast cancer surgery in an ambulatory setting. / Rovera, Francesca; Ferrari, Alberta; Marelli, Marina; Bellani, Marco; Limonta, Giorgio; Corben, Adriana Dionigi; Dionigi, Gianlorenzo; Boni, Luigi; Uccella, Laura; Carcano, Giulio; Dionigi, Renzo.
In: International Journal of Surgery, Vol. 6, No. SUPPL. 1, 2008.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Breast cancer surgery in an ambulatory setting
AU - Rovera, Francesca
AU - Ferrari, Alberta
AU - Marelli, Marina
AU - Bellani, Marco
AU - Limonta, Giorgio
AU - Corben, Adriana Dionigi
AU - Dionigi, Gianlorenzo
AU - Boni, Luigi
AU - Uccella, Laura
AU - Carcano, Giulio
AU - Dionigi, Renzo
PY - 2008
Y1 - 2008
N2 - Aim: To evaluate the feasibility and efficacy of outpatient surgery for early breast cancer in an Italian ambulatory setting and to assess its benefits. Patients and methods: A review of 88 women treated for breast cancer from an outpatient facility was undertaken from July 2003 to December 2006. The patients were selected for ambulatory surgery according to specific social, environmental, physical and oncological criteria. Results: Eighty-eight women underwent a total of 107 surgical interventions in an ambulatory setting. Sixty out of the eighty-eight patients (68%) received a one-day conclusive surgical treatment, and the remaining 28 patients were promptly treated in two phases. Among this latter group, 18 patients (68%) were treated only in an outpatient facility, whereas the other 10 patients require reintervention with hospitalization. There were no intraoperative complications. In the postoperative period, 14 complications were observed: 6 wound infections, 3 hematomas, 1 axillary seroma and 4 readmissions. The patients' readmissions were due to nausea and emesis in one case, disphnoea in another case, and only two readmissions were due to surgical complications (hematoma in both cases). Patients that were interviewed exhibited a high level of satisfaction from the treatments they received. Discussion: This study confirms the feasibility, efficacy and safety of the outpatient setting regime, which is highly appreciated by women and is more cost effective than surgery in a hospital setting.
AB - Aim: To evaluate the feasibility and efficacy of outpatient surgery for early breast cancer in an Italian ambulatory setting and to assess its benefits. Patients and methods: A review of 88 women treated for breast cancer from an outpatient facility was undertaken from July 2003 to December 2006. The patients were selected for ambulatory surgery according to specific social, environmental, physical and oncological criteria. Results: Eighty-eight women underwent a total of 107 surgical interventions in an ambulatory setting. Sixty out of the eighty-eight patients (68%) received a one-day conclusive surgical treatment, and the remaining 28 patients were promptly treated in two phases. Among this latter group, 18 patients (68%) were treated only in an outpatient facility, whereas the other 10 patients require reintervention with hospitalization. There were no intraoperative complications. In the postoperative period, 14 complications were observed: 6 wound infections, 3 hematomas, 1 axillary seroma and 4 readmissions. The patients' readmissions were due to nausea and emesis in one case, disphnoea in another case, and only two readmissions were due to surgical complications (hematoma in both cases). Patients that were interviewed exhibited a high level of satisfaction from the treatments they received. Discussion: This study confirms the feasibility, efficacy and safety of the outpatient setting regime, which is highly appreciated by women and is more cost effective than surgery in a hospital setting.
KW - Ambulatory surgery
KW - Breast cancer
KW - Outpatient surgery
UR - http://www.scopus.com/inward/record.url?scp=63449098836&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=63449098836&partnerID=8YFLogxK
U2 - 10.1016/j.ijsu.2008.12.006
DO - 10.1016/j.ijsu.2008.12.006
M3 - Article
VL - 6
JO - International Journal of Surgery
JF - International Journal of Surgery
SN - 1743-9191
IS - SUPPL. 1
ER -