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Axillary node dissection in outpatient procedure, is it feasible and safe?
Anne-Sophie Navarro1, Elena Ciurcur2, Dimitri Gangloff1
1Institut Claudius Regaud, IUCT-Oncopole, Toulouse, France.
Journal of Gynecology Obstetrics and Human Reproduction
|October 6, 2020
Summary
Outpatient axillary lymphadenectomy for cancer surgery is feasible and safe. While complications like seroma can occur, they are manageable, making the outpatient approach a viable option for patient care.
Area of Science:
- Oncology
- Surgical Oncology
- Patient Care Management
Background:
- Outpatient procedures in cancer surgery enhance care quality and timeliness.
- Axillary lymphadenectomy is a common procedure for breast cancer and melanoma.
- Assessing outpatient feasibility and safety is crucial for modern surgical practices.
Purpose of the Study:
- To evaluate the feasibility and safety of outpatient axillary lymphadenectomy.
- To compare postoperative morbidity between outpatient and inpatient procedures.
- To determine the complication rates and management in an ambulatory setting.
Main Methods:
- Analysis of patients undergoing axillary lymphadenectomy for breast cancer or melanoma.
- Inclusion of patients with isolated axillary lymphadenectomy or combined procedures suitable for outpatient care.
- Comparison of complication rates and types between outpatient and inpatient groups.
Main Results:
- Out of 349 patients, 142 (40.7%) underwent outpatient procedures.
- Overall complication rates were similar (52.0% outpatient vs. 48.0% inpatient).
- Seroma was the most frequent complication, more common in outpatients (57.7%) but manageable with aspiration, with all complications handled in an outpatient setting.
Conclusions:
- Outpatient axillary lymphadenectomy is a feasible and safe surgical option.
- Postoperative complications, primarily seroma, are generally manageable in an outpatient setting.
- Preoperative patient education on potential morbidity, especially seroma, improves acceptance and understanding.
