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Improving Breast Conserving Surgery Using the Faxitron® OR Specimen Radiography System - A Complication Analysis,
Christian Eichler1,2, Anke Westerhoff3, Mathias Warm4,5
1University of Cologne Faculty of Medicine, Department of Gynecology and Obstetrics, University of Cologne, Cologne, Germany; Christian.Eichler@sfh-muenster.de.
Background/Aim:
The combination of pre-surgical clip placement and hook-wire guided surgery is considered the gold standard for adequately locating non-palpable lesions during breast conserving surgery. After surgical removal of the segment, radiography is required to confirm clip removal, increasing surgical time, post-surgical complication rates, and cost.
Patients And Methods:
We performed a retrospective analysis, using the Faxitron® in-theater specimen radiography system, of the following primary endpoints: surgical time and complication rates. The secondary endpoints were cost effectiveness and clip-location rates. The Control cohort included breast conserving surgery patients prior to May 2019 (n=150) and the Validation cohort included breast conserving surgery patients after May 2019 (n=53).
Results:
The analysis showed an improvement in surgical time when using the Faxitron® system, which is directly linked to a benefit in cost effectiveness. A numerical benefit in complication rates was also shown. A subgroup analysis showed a significant advantage in surgical time for breast conserving surgery plus sentinel node biopsy and open breast biopsies.
Conclusion:
Use of the Faxitron® system significantly reduces surgical time, which increases cost efficiency while maintaining a low complication rate.
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