Formet J, Dole C, Laroche J, De Lapparent T, Malincenco L, Gay C
Service de gynécologie et unité de chirurgie ambulatoire, hôpital Nord Franche-Comté, 100, route de Moval, 90400 Trevenans, France.
Service de gynécologie et unité de chirurgie ambulatoire, hôpital Nord Franche-Comté, 100, route de Moval, 90400 Trevenans, France.
Gynecol Obstet Fertil Senol. 2019 Nov;47(11):769-775. doi: 10.1016/j.gofs.2019.07.012. Epub 2019 Jul 31.
The objective of this study was to evaluate an outpatient breast cancer surgery activity in our center and to collect the satisfaction of patient having benefited.
Descriptive and retrospective study about patients who underwent surgery for breast cancer scheduled on ambulatory between March 2015 and March 2017. Patients' satisfaction was collected retrospectively by a questionnaire.
Six hundred and thirty-nine breast cancer surgeries were performed during the study period, of which 56.2% were scheduled for outpatient surgery: 33 axillary procedures (9.2%), 289 conservative surgeries (80.5%) and 37 radical surgeries (10.3%). Forty-nine patients initially managed on ambulatory had to be hospitalized on conventional service, representing a conversion rate of 13.6%. The main reason was the establishment of drainage (30.6%). The complication rate was 0.6% with 2 patients rehospitalized for hematoma requiring surgical revision. Of the 359 patients treated on ambulatory, 61% responded to the satisfaction questionnaire. Overall satisfaction was 96.3%. In addition, 68.3% of patients said they had seen a real benefit in this mode of care. After returning home, 59,8% of patients reported feeling no or low pain.
Outpatient management seems to be both safe and satisfying for breast cancer surgery. A better organization of patient going home is in progress in order to reduce rate of conversion.
本研究的目的是评估我们中心的门诊乳腺癌手术活动，并收集受益患者的满意度。
对2015年3月至2017年3月期间安排在门诊进行乳腺癌手术的患者进行描述性回顾性研究。通过问卷调查回顾性收集患者的满意度。
在研究期间共进行了639例乳腺癌手术，其中56.2%安排为门诊手术：33例腋窝手术（9.2%），289例保乳手术（80.5%）和37例根治性手术（10.3%）。49例最初安排在门诊治疗的患者不得不转为常规住院治疗，转换率为13.6%。主要原因是需要置管引流（30.6%）。并发症发生率为0.6%，2例患者因血肿再次住院需要手术修复。在359例接受门诊治疗的患者中，61%对满意度问卷进行了回复。总体满意度为96.3%。此外，68.3%的患者表示他们确实从这种治疗模式中受益。回家后，59.8%的患者报告无疼痛或疼痛轻微。
门诊管理对于乳腺癌手术似乎既安全又令人满意。目前正在改进患者回家的组织安排，以降低转换率。
