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Day-case breast cancer axillary surgery
N Athey1, A D Gilliam, P Sinha
1University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK. nickathey@doctors.org.uk
Annals of the Royal College of Surgeons of England
|April 14, 2005
Summary
Day-case axillary surgery for breast cancer is safe and effective without suction drainage. This approach demonstrates favorable surgical morbidity compared to traditional methods, improving patient outcomes.
Area of Science:
- Oncology
- Surgical Oncology
- Breast Cancer Management
Background:
- Standard breast cancer treatment involves tumor excision and axillary staging with drainage.
- This study evaluates day-case surgery without suction drainage for breast cancer patients.
Purpose of the Study:
- To determine the safety, tolerability, and efficacy of day-case axillary surgery without suction drainage.
- To assess the feasibility of outpatient management for breast cancer axillary procedures.
Main Methods:
- A review of prospectively collected data from breast cancer patients undergoing day-case axillary surgery (2000-2002).
- Analysis included postoperative complications and reasons for overnight stay.
Main Results:
- 165 patients underwent intended day-case axillary surgery; 9.7% required overnight admission, primarily due to scheduling issues.
- Complications included symptomatic seroma (22%) and wound infection (10%).
Conclusions:
- Day-case axillary surgery can be safely performed without suction drainage.
- Surgical morbidity is comparable to traditional methods involving axillary drainage.