Improving Breast Conserving Surgery Using the Faxitron® OR Specimen Radiography System - A Complication Analysis, Cost Evaluation and Literature Review.
Anticancer Res
; 42(4): 1925-1932, 2022 Apr.
Article
em En
| MEDLINE
| ID: mdl-35347012
ABSTRACT
BACKGROUND/AIM:
The combination of pre-surgical clip placement and hook-wire guided surgery is considered the gold standard for adequately locating non-palpable lesions during breast conserving surgery. After surgical removal of the segment, radiography is required to confirm clip removal, increasing surgical time, post-surgical complication rates, and cost. PATIENTS ANDMETHODS:
We performed a retrospective analysis, using the Faxitron® in-theater specimen radiography system, of the following primary endpoints surgical time and complication rates. The secondary endpoints were cost effectiveness and clip-location rates. The Control cohort included breast conserving surgery patients prior to May 2019 (n=150) and the Validation cohort included breast conserving surgery patients after May 2019 (n=53).RESULTS:
The analysis showed an improvement in surgical time when using the Faxitron® system, which is directly linked to a benefit in cost effectiveness. A numerical benefit in complication rates was also shown. A subgroup analysis showed a significant advantage in surgical time for breast conserving surgery plus sentinel node biopsy and open breast biopsies.CONCLUSION:
Use of the Faxitron® system significantly reduces surgical time, which increases cost efficiency while maintaining a low complication rate.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mastectomia Segmentar
/
Biópsia de Linfonodo Sentinela
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Observational_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article