Breast-Conserving Surgery Under Local Anesthesia in Elderly Patients with Severe Cardiorespiratory Comorbidities: A Hospital-Based Case-Control Study.
Breast Care (Basel)
; 12(1): 29-33, 2017 Mar.
Article
in En
| MEDLINE
| ID: mdl-28611538
ABSTRACT
INTRODUCTION:
We report the feasibility and safety of local anesthesia (LA) in patients having breast-conserving surgery (BCS).METHODS:
37 patients with American Society of Anesthesiologists (ASA) score of 4 having BCS under LA and 54 age-matched subjects with ASA score of 3-4 having BCS under general anesthesia (GA) were included. Patients were retrospectively evaluated for the follow-up duration, duration of surgery, postoperative satisfaction scores (1-10), complication and survival time for locoregional recurrence and overall survival rates.RESULTS:
The mean follow-up duration was 55.09 ± 13.49 months (range 38-104) in GA group, and 58.7 ± 15.5 months (range 20-99) in LA group. There was a significant difference in the duration of surgery (p < 0.001). In the LA group, 5 patients (13.5%) had minor complications including seroma, wound infection or hematoma, whereas 6 patients (11.1%) had minor complications in the GA group (p > 0.05). The re-excision rate due to positive tumor margins was 5.4% (2 patients) in the LA group and 5.5% in the GA group, respectively. The locoregional recurrence-free survival and overall survival rate was not different between 2 groups (p = 0.192, p = 0.93).CONCLUSION:
BCS under LA seemed to be effective and safe in selected high-risk elderly patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Observational_studies
/
Risk_factors_studies
Language:
En
Journal:
Breast Care (Basel)
Year:
2017
Document type:
Article
Affiliation country:
Turquía
Publication country:
CH
/
SUIZA
/
SUÍÇA
/
SWITZERLAND