门诊择期乳腺癌手术的局部及椎旁阻滞麻醉

Local and paravertebral block anesthesia for outpatient elective breast cancer surgery.

作者信息

Kitowski Nicholas J, Landercasper Jeffrey, Gundrum Jacob D, De Maiffe Brooke M, Chestnut David H, Bottcher Michael L, Johnson Jeanne M, Johnson Rebecca L

机构信息

Department of Surgery, Gundersen Lutheran Health System, 1900 South Ave, Mailstop EB1-002, La Crosse, WI 54601, USA.

出版信息

Arch Surg. 2010 Jun;145(6):592-4. doi: 10.1001/archsurg.2010.77.

DOI:10.1001/archsurg.2010.77

PMID:20566982

Abstract

Most breast cancer operations in the United States are performed with the patient given general anesthesia. We retrospectively reviewed our prospective breast cancer database to determine the percentage of patients who underwent breast cancer operations with either local or paravertebral block regional anesthesia from January 1 through June 30, 2008. Fifty-two of 70 patients (74%) were able to undergo breast cancer surgery with local or paravertebral block regional anesthesia. Operations included mastectomy, full axillary dissections, and expander or implant reconstruction. There were no conversions to general anesthesia and no unplanned overnight admissions. Only 5 of 52 patients (10%) undergoing surgery with local or paravertebral block regional anesthesia developed postoperative nausea or vomiting. We conclude that most elective outpatient breast cancer surgery operations can be performed with the patients given local or regional anesthesia.

摘要

在美国，大多数乳腺癌手术是在患者接受全身麻醉的情况下进行的。我们回顾性地查阅了我们前瞻性的乳腺癌数据库，以确定在2008年1月1日至6月30日期间接受局部或椎旁阻滞区域麻醉进行乳腺癌手术的患者百分比。70例患者中有52例（74%）能够接受局部或椎旁阻滞区域麻醉下的乳腺癌手术。手术包括乳房切除术、全腋窝淋巴结清扫术以及扩张器或植入物重建术。没有转为全身麻醉的情况，也没有计划外的过夜住院。在接受局部或椎旁阻滞区域麻醉手术的52例患者中，只有5例（10%）出现了术后恶心或呕吐。我们得出结论，大多数择期门诊乳腺癌手术可以在患者接受局部或区域麻醉的情况下进行。