ZHOU Jiao 1,2,3 , XIAO Xiaoxiao 4 , YANG Jiabin 4 , FENG Yu 1,2 , YANG Huanzuo 1,2 , QIU Mengxue 1,2 , ZHANG Qing 1,2 , LIU Yang 5 , HUANG Mingjun 5 , LIANG Peng 5 , DU Zhenggui 1,2
  • 1. Department of Gengeral Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
  • 2. Breast Disease Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
  • 3. Department of Thyroid and Breast Surgery, The First People’s Hospital of Ziyang, Ziyang, 641300, Sichuan, P. R. China;
  • 4. Anesthesia & Operation Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
  • 5. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
DU Zhenggui, Email: docduzg@163.com
Day surgery; breast conserving surgery; complications; economic benefit; psychological effect
10.7507/1007-4848.202307003
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Objective To investigate the safety, economic benefits and psychological effects of day breast conserving surgery for breast cancer. Methods The demographic data and clinical data of breast cancer patients undergoing day (day surgery group) and ward (ward surgery group) breast conserving surgeries in West China Hospital of Sichuan University from March 2020 to June 2021 were retrospectively collected; the demographic data, clinical data, medical and related transportation costs, and preoperative and postoperative BREAST-Q scores of breast cancer patients undergoing day (day surgery group) and ward (ward surgery group) breast conserving surgery in West China Hospital of Sichuan University from July 2021 to May 2022 were prospectively collected. The safety, economic benefit, and psychological satisfaction of day surgery was analyzed Results A total of 42 women with breast cancer were included in the retrospective study and 39 women with breast cancer were included in the prospective study. In both prospective and retrospective studies, the mean age of patients in both groups were <50 years. There were only statistical differences between the two groups in the aspects of hypertension (P=0.022), neoadjuvant chemotherapy (P=0.037) and postoperative pathological estrogen receptor (P=0.033) in the prospective study. In postoperative complications, there were no statistical differences in the surgical-related complications or anesthesia-related complications between the two groups in either the prospective study or the retrospective study (P>0.05). In terms of the overall cost, we found that the day surgery group was more economical than the ward surgery group in the prospective study (P=0.002). There were no statistical differences in postoperative psychosocical well-being, sexual well-being, satisfaction with breasts and chest condition between the two groups (P>0.05). Conclusion It is safe and reliable to carry out breast conserving surgery in day surgery center under strict management standards, which can save medical costs and will not cause great psychological burden to patients.