Oncoplastic breast conserving surgery is associated with a lower rate of surgical site complications compared to standard breast conserving surgery

被引：37
作者：
Crown, Angelena [1 ]
Scovel, Lauren G. [1 ]
Rocha, Flavio G. [1 ]
Scott, Elliot J. [1 ]
Wechter, Debra G. [1 ]
Grumley, Janie W. [1 ]
机构：
[1] Virginia Mason Med Ctr, Dept Gen Thorac & Vasc Surg, 1100 Ninth Ave, Seattle, WA 98101 USA
来源：
AMERICAN JOURNAL OF SURGERY | 2019年 / 217卷 / 01期
关键词：
20-YEAR FOLLOW-UP; CANCER; MASTECTOMY; LUMPECTOMY; REDUCTION; OUTCOMES; TRIAL;
D O I：
10.1016/j.amjsurg.2018.06.014
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: Oncoplastic breast conserving surgery (OBCS) integrates plastic surgery techniques in the resection of breast cancer and lowers the rate of re-excision while improving breast cosmesis. The goal of this study is to compare the surgical site complication rate of OBCS with that of standard BCS. Methods: A single institution chart review evaluated all patients undergoing BCS for treatment of breast cancer. Patients treated from January 2009 to December 2010, prior to adoption of oncoplastic techniques, were identified as the standard surgery (SS) group. Patients treated with OBCS from January 2013 to July 2015 were identified as the oncoplastic surgery (OS) group. All surgical site complications were recorded. Results: Overall, 561 patients were evaluated. The SS group comprised 273 patients compared with 288 patients in the OS group. Surgical site complications occurred in 49 patients (17.9%) in the SS group compared with 23 patients (8.0%) in the OS group (p < 0.001). Discussion: Overall, BCS has a low rate of significant surgical site complications. OBCS has a lower rate of surgical site complications compared to standard BCS. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码：138 / 141
页数：4
相关论文
共 20 条
[1]  
ABE O, 1995, NEW ENGL J MED, V333, P1444
[2]   Volume-outcome analysis of colorectal cancer-related outcomes [J].
Borowski, D. W. ;
Bradburn, D. M. ;
Mills, S. J. ;
Bharathan, B. ;
Wilson, R. G. ;
Ratcliffe, A. A. ;
Kelly, S. B. .
BRITISH JOURNAL OF SURGERY, 2010, 97 (09) :1416-1430
[3]   Improving Breast Cancer Surgery: A Classification and Quadrant per Quadrant Atlas for Oncoplastic Surgery [J].
Clough, Krishna B. ;
Kaufman, Gabriel J. ;
Nos, Claude ;
Buccimazza, Ines ;
Sarfati, Isabelle M. .
ANNALS OF SURGICAL ONCOLOGY, 2010, 17 (05) :1375-1391
[4]   Oncoplastic Breast-Conserving Surgery Reduces Mastectomy and Postoperative Re-excision Rates [J].
Crown, Angelena ;
Wechter, Debra G. ;
Grumley, Janie W. .
ANNALS OF SURGICAL ONCOLOGY, 2015, 22 (10) :3363-3368
[5]   The Use of Reduction Mammaplasty with Breast Conservation Therapy: An Analysis of Timing and Outcomes [J].
Egro, Francesco M. ;
Pinell-White, Ximena ;
Hart, Alexandra Marie ;
Losken, Albert .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2015, 135 (06) :963E-971E
[6]   Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer [J].
Fisher, B ;
Anderson, S ;
Bryant, J ;
Margolese, RG ;
Deutsch, M ;
Fisher, ER ;
Jeong, J ;
Wolmark, N .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (16) :1233-1241
[7]   Quality of Life and Alleviation of Symptoms After Breast Reduction for Macromastia in Obese Patients: Is Surgery Worth It? [J].
Guemes, Antonio ;
Perez, Esther ;
Sousa, Ramon ;
Gil, Ismael ;
Pilar Valcarreres, Maria ;
Carrera, Patricia ;
Dolores Gracia, Maria ;
Artigas, Luis ;
Gascon, Ana .
AESTHETIC PLASTIC SURGERY, 2016, 40 (01) :62-70
[8]  
Holmes DR., 2011, Int J Breast Cancer, V2011, P1
[9]   Breast surgery in the 'Arimidex, tamoxifen alone or in combination' (ATAC) trial - American women are more likely than women from the United Kingdom to undergo mastectomy [J].
Locker, GY ;
Sainsbury, JR ;
Cuzick, J .
CANCER, 2004, 101 (04) :735-740
[10]   Oncoplastic Breast Surgery: What, When and for Whom? [J].
Macmillan R.D. ;
McCulley S.J. .
Current Breast Cancer Reports, 2016, 8 (2) :112-117
12