Ambulatory mastectomy

被引:33
作者
Dooley, WC [1 ]
机构
[1] Univ Oklahoma, Breast Inst, Hlth Sci Ctr, Oklahoma City, OK 73104 USA
关键词
breast cancer; mastectomy; ambulatory surgery;
D O I
10.1016/S0002-9610(02)01051-6
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Ambulatory mastectomy has been a topic of heated political debate with little analysis of clinical data. Methods: Based on extensive satisfaction surveys, an ideal surgical treatment experience was developed that decreased nausea, increased preoperative education, and reduced perioperative narcotic usage. Using this new algorithm, patients treated by a single surgeon were given the choice of overnight stay versus discharge to home with visiting nurse care. Results: From March I to October 31, 2001, 92 mastectomies or lumpectomy/axillary dissections were performed in 87 patients. One patient chose to remain in the center overnight. All others were discharged in less than 2.5 hours postoperatively. Perioperative complications fell to 20% of those of the prior year. Hospital charges, fell 79.5%. Conclusions: Despite lay reservations about ambulatory mastectomy, a detailed approach can result in markedly reduced health care costs without incurring additional morbidity or mortality. (C) 2002 Excerpta Medica Inc. All rights reserved.
引用
收藏
页码:545 / 548
页数:4
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