美国乳腺外科医师学会工具包的更新，以应对保乳手术再次手术流行的问题。
Update of the American Society of Breast Surgeons Toolbox to address the lumpectomy reoperation epidemic.
作者信息
McEvoy Maureen P, Landercasper Jeffrey, Naik Himani R, Feldman Sheldon
机构信息
Montefiore Medical Center, Montefiore Einstein Center for Cancer Care, Bronx, NY, USA.
Gundersen Health System, Norma J. Vinger Center for Breast Cancer, La Crosse, WI, USA.
出版信息
Gland Surg. 2018 Dec;7(6):536-553. doi: 10.21037/gs.2018.11.03.
In 2015, the American Society of Breast Surgeons (ASBrS) convened a multidisciplinary consensus conference, the Collaborative Attempt to Lower Lumpectomy Reoperation Rates (CALLER). The CALLER conference endorsed a "toolbox" of multiple processes of care for which there was evidence that they were associated with fewer reoperations. We present an update of the toolbox taking into consideration the latest advances in decreasing re excision rates. In this review, we performed a comprehensive review of the literature from 2015-2018 using search terms for each tool. The original ten tools were updated with the latest evidence from the literature and our strength of recommendation. We added an additional section looking at new tools and techniques that may provide more accurate intraoperative assessment of margins. The updates on the CALLER Toolbox for lumpectomy will help guide surgeons to various resources to aid in the removal of breast cancer, while being aware of cosmesis and decreasing re excision rates.
2015年，美国乳腺外科医师协会（ASBrS）召开了一次多学科共识会议，即降低乳房肿瘤切除术再手术率的协作尝试（CALLER）会议。CALLER会议认可了一个包含多种护理流程的“工具箱”，有证据表明这些流程与较少的再手术相关。我们给出了该“工具箱”的更新内容，其中考虑了在降低再次切除率方面的最新进展。在本综述中，我们使用针对每种工具的检索词对2015年至2018年的文献进行了全面综述。根据文献中的最新证据和我们的推荐强度，对最初的十种工具进行了更新。我们增加了一个额外的部分，探讨可能提供更准确的术中切缘评估的新工具和新技术。乳房肿瘤切除术CALLER“工具箱”的更新将有助于指导外科医生利用各种资源来辅助乳腺癌切除，同时兼顾美观并降低再次切除率。
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