Stein H D
Am Surg. 1982 May;48(5):221-4.
Modern medical practice demands increased patient participation in decision making and an effort to provide economical, safe care. It is recommended that performing breast biopsies as an ambulatory procedure under local anesthesia fulfills these criteria. We present a series of 50 ambulatory breast biopsies, eight of whom had cancer. Of the 50 patients, 94 per cent said they would have it done this way again. Those without cancer went home reassured and those with cancer appreciated time to consider definitive therapy. At our hospital, there is a savings of $750.00 per patient when compared to an inpatient biopsy. It is therefore recommended that patients be given a choice of ambulatory or inpatient biopsy. Ambulatory biopsy avoids general anesthesia, reduces medical costs, and provides opportunity for discussion and planning should further surgery be necessary.
现代医疗实践要求患者更多地参与决策，并努力提供经济、安全的护理。建议在局部麻醉下将乳房活检作为门诊手术来进行，这符合这些标准。我们展示了一系列50例门诊乳房活检病例，其中8例患有癌症。在这50名患者中，94%的人表示他们愿意再次以这种方式进行活检。没有患癌症的患者安心回家，而患有癌症的患者则有时间考虑确定性治疗，对此表示感激。在我们医院，与住院活检相比，每位患者可节省750美元。因此，建议为患者提供门诊活检或住院活检的选择。门诊活检避免了全身麻醉，降低了医疗成本，并为必要时的进一步手术提供了讨论和规划的机会。
