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[神话:乳腺癌后的静脉切除]

Christina Massoth, Carl Opitz, Manuel Wenk

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS

|February 17, 2025

概括

乳腺癌幸存者可以安全地在受影响的一侧接受手术. 侧静脉导管和血压测量不增加淋巴风险,挑战历史医学实践.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
淋巴 edem 管理淋巴 edem 管理

背景情况:

乳腺癌是全球领先的瘤诊断.
改善的生存率导致更多的癌症幸存者需要非癌症相关的手术.
由于淋巴的担忧,历史实践避免了双侧 (同一侧) 静脉通道.

研究的目的:

评估乳腺癌幸存者的ipsilateral静脉导管安置和血压测量的安全性.
挑战长期以来避免这些程序的教条.
根据新出现的证据,为当前的医疗实践提供信息.

主要方法:

对乳腺癌患者的ipsilateral手术现有证据的审查.
分析与这些干预相关的并发症,特别是淋巴.
对过渡性四肢胀和持续性胀的影响的评估.

主要成果:

目前的证据表明,随着ipsilateral静脉穿刺或导管,淋巴 edem 的风险没有增加.
过渡性四肢胀和持续性胀与这些手术没有显著的关联.
对ipsilateral程序的历史禁忌没有数据支持.

结论:

在乳腺癌幸存者中,ipsilateral静脉导管和血压测量并非禁忌.
患者和提供者教育对于消除围绕这些程序的神话至关重要.
更新临床实践指南可以改善对乳腺癌幸存者的护理.

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