Philippe Rauch1, Julia Salleron2, Julie Buhler3, Léa Leufflen3, Frédéric Marchal4. 1. Université de Lorraine, institut de cancérologie de Lorraine, département de chirurgie, 6, avenue de Bourgogne, 54511 Vandoeuvre-les-Nancy, France. Electronic address: p.rauch@nancy.unicancer.fr. 2. Institut de cancérologie de Lorraine, département de biostatistiques, Vandoeuvre-les-Nancy, France. 3. Université de Lorraine, institut de cancérologie de Lorraine, département de chirurgie, 6, avenue de Bourgogne, 54511 Vandoeuvre-les-Nancy, France. 4. Université de Lorraine, institut de cancérologie de Lorraine, département de chirurgie, 6, avenue de Bourgogne, 54511 Vandoeuvre-les-Nancy, France; Université de Lorraine, CNRS Vandoeuvre-les-Nancy, CRAN, UMR 7039, Vandoeuvre-les-Nancy, France.
Abstract
INTRODUCTION: Breast cancer surgery associates interventions of short duration and low morbidity, mostly accessible for outpatient management. METHODS: We performed a descriptive, retrospective, monocentric study involving 1735 patients operated between 1st of July 2015 and the 31st of December 2017 of a mammary or axillary lymph node procedure. A comparative study was carried out, involving 2 groups of patients treated either on an outpatient or conventional hospitalization mode, in order to find the main medico-social factors that could constitute barriers to this ambulatory modality. RESULTS: In total, 992 patients were treated in outpatient surgery and 743 in conventional surgery. The mean age of the ambulatory group was 56.9 years (±11.2), versus 65.9 years (±13.5) in the conventional hospitalization group. Thirteen stays (1.3%) had to be converted into conventional hospitalization. The main factors limiting outpatient management are age≥70 years, BMI≥25, isolation of the patient, total mastectomy, and drainage. CONCLUSION: Because of social, medical or psychological constraints, the rate of outpatient breast surgery remains in our practice, stable in recent years at 56%. Some ways of improvement can be envisaged, but it is likely that this rate will only increase in a very gradual manner in the years to come.
INTRODUCTION:Breast cancer surgery associates interventions of short duration and low morbidity, mostly accessible for outpatient management. METHODS: We performed a descriptive, retrospective, monocentric study involving 1735 patients operated between 1st of July 2015 and the 31st of December 2017 of a mammary or axillary lymph node procedure. A comparative study was carried out, involving 2 groups of patients treated either on an outpatient or conventional hospitalization mode, in order to find the main medico-social factors that could constitute barriers to this ambulatory modality. RESULTS: In total, 992 patients were treated in outpatient surgery and 743 in conventional surgery. The mean age of the ambulatory group was 56.9 years (±11.2), versus 65.9 years (±13.5) in the conventional hospitalization group. Thirteen stays (1.3%) had to be converted into conventional hospitalization. The main factors limiting outpatient management are age≥70 years, BMI≥25, isolation of the patient, total mastectomy, and drainage. CONCLUSION: Because of social, medical or psychological constraints, the rate of outpatient breast surgery remains in our practice, stable in recent years at 56%. Some ways of improvement can be envisaged, but it is likely that this rate will only increase in a very gradual manner in the years to come.
Authors: L J van Zeelst; R Derksen; C H W Wijers; J Hegeman; R Berry; J H W de Wilt; L J A Strobbe Journal: Breast J Date: 2022-06-01 Impact factor: 2.269