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Related Experiment Video

Updated: May 28, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
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Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

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Enhancing the clinical pathway for patients undergoing axillary lymph node dissection.

M Barry1, W P Weber, S Lee

  • 1Breast Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 300 East 66th Street, New York, NY 10065, USA.

Breast (Edinburgh, Scotland)
|November 1, 2011
PubMed
Summary

Axillary lymph node dissection (ALND) can be safely performed as a day-case procedure. This outpatient approach enhances hospital bed availability without compromising patient care quality.

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Area of Science:

  • Surgical Oncology
  • Outpatient Procedures
  • Clinical Pathways

Background:

  • Day-case axillary lymph node dissection (ALND) is not standard practice.
  • Assessing the feasibility of converting inpatient ALND to an outpatient procedure.
  • Identifying barriers and strategies for implementing an enhanced clinical pathway for outpatient ALND.

Purpose of the Study:

  • Evaluate the safety and efficacy of day-case ALND.
  • Determine the impact on patient care quality and continuity.
  • Identify and address barriers to implementing outpatient ALND.

Main Methods:

  • Prospective database of 282 patients undergoing ALND over 12 months.
  • Assessed outcomes: same-day discharge, complication rates, readmission rates.

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  • Analysis of barriers including patient expectations, pain management, and preoperative education.

    • Main Results:

    • 85.1% (240/282) of ALNDs were performed as outpatient procedures.
    • Low readmission rate (0.8%) and reoperation rate (0.7%).
    • Outpatient ALND freed up 240 hospital beds during the study period.

    Conclusions:

    • Axillary lymph node dissection (ALND) can be safely performed as a day-case procedure.
    • Successful implementation requires a multidisciplinary team and enhanced patient education.
    • Mindset shifts in patients and healthcare providers are crucial for adoption.