Surgical treatment of breast lesions at a Day Centre: Experience of the European Institute of Oncology. (June 2016)

• Record Type: Journal Article
• Authors: Ballardini, Bettina; Cavalli, Marta; Manfredi, Giovanni Francesco; Sangalli, Claudia; Galimberti, Viviana; Intra, Mattia; Rossi, Elisabetta Maria Cristina; Seco, Javiera; Campanelli, Giampiero; Veronesi, Paolo
• Is Part Of: Breast. Volume 27(2016)
• Page Start: 169
• Page End: 174
• Publication Date: 2016-06
• Subjects: Breast cancer -- Day surgery -- Outpatient surgery; Breast -- Diseases -- Periodicals; Breast -- Tumors -- Periodicals; Breast -- Periodicals; Electronic journals; Periodicals; 616
• DOI: 10.1016/j.breast.2016.04.002
• Languages: English
• ISSNs: 0960-9776

Abstract

Abstract: Breast cancer is the commonest malignancy in women worldwide. The reduced aggressiveness of breast cancer surgery has made it possible treat patients in the day surgery setting. The European Institute of Oncology, Milan, opened its new Day Center in May 2010. From May 2010 to December 2014, 17, 087 patients with breast conditions were treated by the Institute's Division of Senology, 4132 (24.2%) of these in the day surgery setting, including malignant and benign conditions; 204 (4.9%) were not discharged on the day of surgery, being converted to inpatients; five (0.1%) patients returned to hospital for persistent hematoma. Our experience of performing breast cancer surgery in the day surgery setting is in line that of the literature. It is safe, but requires a well-organized unit and multidisciplinary medical team to function smoothly, with much attention paid to patient comfort and education, so as to ensure maximum patient acceptance and satisfaction. Highlights: The European Institute of Oncology opened its new Day Center in 2010. 4132 breast patients were treated from 2010 to 2014. 1824 received surgery for invasive disease. 4.9% were not discharged on day 1; 0.1% were re-admitted for surgical complications. Patient satisfaction was high; efficient organisation is essential for success.