Rizvi Farrukh H, Khan Muhammad Kashif, Almas Talal, Ullah Muneeb, Shafi Adil, Murad Muhammad Faisal, Ali Aabid, Nadeem Faisal
Surgery, Mukhtar A. Sheikh Hospital, Multan, PAK.
Surgical Oncology, Federal Government Poly Clinic (Post Graduate Medical Institute), Islamabad, PAK.
Cureus. 2020 Aug 22;12(8):e9941. doi: 10.7759/cureus.9941.
Background Breast cancer remains the most common cause of cancer related mortality amongst women in Pakistan. Postoperative complications can demoralize the patients and potentially delay adjuvant treatment, leading to adverse outcomes. The overarching aim of the study is to delineate the early postoperative outcomes of breast cancer surgery in Pakistan. Materials and Methods A retrospective study involving patients who underwent breast cancer surgery from June 2016 to December 2019 was conducted. Perioperative morbidities (30 days) were evaluated and documented. The results obtained were analyzed using the SPSS 23 software (IBM Corporation, Armonk, NY). Results A total of 94 patients were included in the study, with the mean age of 50±12.8 years. Breast conserving surgery was performed in 32% (n=31) of the patients, while the remaining 68% (n=63) underwent modified radical mastectomy. The most common complications were seroma formation, flap necrosis and hematoma formation and were observed in 5.3% (n=5), 4.3% (n=4) and 3.2% (n=3) of the patients, respectively. Conclusion Early postoperative complications can delay the commencement of adjuvant systemic therapy required for further management of breast cancer. These complications elicit equally grave consequences for patients undergoing breast conserving surgery and modified radical mastectomy.
乳腺癌仍是巴基斯坦女性癌症相关死亡的最常见原因。术后并发症会使患者士气低落，并可能延迟辅助治疗，导致不良后果。本研究的总体目标是描述巴基斯坦乳腺癌手术的早期术后结果。
进行了一项回顾性研究，纳入2016年6月至2019年12月期间接受乳腺癌手术的患者。评估并记录围手术期发病率（30天）。使用SPSS 23软件（IBM公司，纽约州阿蒙克）对获得的结果进行分析。
共有94例患者纳入研究，平均年龄为50±12.8岁。32%（n = 31）的患者接受了保乳手术，其余68%（n = 63）接受了改良根治性乳房切除术。最常见的并发症是血清肿形成、皮瓣坏死和血肿形成，分别在5.3%（n = 5）、4.3%（n = 4）和3.2%（n = 3）的患者中观察到。
术后早期并发症会延迟乳腺癌进一步治疗所需的辅助全身治疗的开始。这些并发症对接受保乳手术和改良根治性乳房切除术的患者产生同样严重的后果。
