Cohen A M, Schaeffer N, Chen Z Y, Wood W C
Am J Surg. 1986 Apr;151(4):465-6. doi: 10.1016/0002-9610(86)90104-2.
Thirty-nine patients underwent modified radical mastectomy and were discharged with their suction drains and sutures in place after a mean postoperative stay of 4.7 days. Drains and sutures were removed at the first office visit. There were no infections, and late seromas developed in only 21 percent of the patients. Another group of patients were hospitalized until drainage effluent from their tubes was less than 30 ml/day, at which time the drains were removed and the patients discharged. This group had a mean postoperative stay of 9.5 days, and an incidence of late seroma of 43 percent. These data suggest it is both safe and effective to discharge patients 3 to 5 days after mastectomy at considerable potential cost savings due to the reduced hospital stay.
39例患者接受了改良根治性乳房切除术，术后平均住院4.7天，出院时负压引流管和缝线均保留原位。首次门诊时拔除引流管和缝线。无感染发生，仅21%的患者出现晚期血清肿。另一组患者住院至引流管引流量少于30ml/天，此时拔除引流管并出院。该组患者术后平均住院9.5天，晚期血清肿发生率为43%。这些数据表明，乳房切除术后3至5天让患者出院是安全有效的，由于缩短了住院时间，还能显著节省费用。
