Seltzer M H
University of Medicine and Dentistry, New Jersey College of Medicine, Newark, USA.
Int Surg. 1995 Jan-Mar;80(1):79-81.
A series of 133 patients treated for breast cancer with partial mastectomy and limited axillary dissection performed as a same day procedure is presented. For comparison purposes an additional 45 patients are presented who had the same operative procedure but stayed for 1 or more nights as an in-patient. Of those having the procedure on a same day basis complications included hematoma (0.8%), seroma (2.3%), infection (1.5%) and miscellaneous (0.8%). These results are similar to those for patients staying overnight. It is concluded that partial mastectomy and limited axillary dissection can be safely performed as a same day procedure with advantages to the patient of avoiding hospitalization, to the surgeon in avoiding excessive paperwork and in-hospital responsibilities, and to the third party insurers in reducing costs.
本文介绍了133例接受乳腺癌保乳手术及有限腋窝淋巴结清扫术且在同一天完成手术的患者。为作比较，还介绍了另外45例接受相同手术操作但住院1晚或更长时间的患者。在同一天进行手术的患者中，并发症包括血肿（0.8%）、血清肿（2.3%）、感染（1.5%）和其他（0.8%）。这些结果与住院过夜的患者相似。结论是，保乳手术及有限腋窝淋巴结清扫术可在同一天安全进行，对患者来说可避免住院，对外科医生来说可避免过多的文书工作和住院责任，对第三方保险公司来说可降低成本。
