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Abstract
Day surgery breast-conserving surgery (DS-BCS) is a surgical approach applied in many specialized breast surgery departments. This study demonstrates the benefits of this approach from the perspectives of patients and of the Hospital/National Health System compared to ordinary breast-conserving surgery (ORD-BCS) under general anesthetic. A comparison of costs and diagnosis-related group (DRG) reimbursement demonstrated improved cost-effectiveness in DS-BCS compared to ORD-BCS.
Highlights
Day surgery is becoming increasingly utilized in many healthcare systems
It has been previously demonstrated that the status of axillary lymph nodes is safely assessed by sentinel node biopsy (SLNB), when approaching early-stage breast cancer [3, 4]
We have introduced the concept of awake breast surgery during the COVID-19 pandemic as a means of reducing the incidence of viral infection and maximizing the utility of hospital service during a period of intense pressure [11–13]
Summary
Day surgery is becoming increasingly utilized in many healthcare systems. It reduces patient waiting time by increasing patient throughput while ensuring high quality care. Day surgery can significantly reduce the cost of healthcare [1, 2]. A minimum of 2 days of inpatient stay is required for breast surgical procedures, such as quadrantectomy, and this has been attributed to general anesthesia. It has been previously demonstrated that the status of axillary lymph nodes is safely assessed by sentinel node biopsy (SLNB), when approaching early-stage breast cancer [3, 4]. Absence of drainage from the axilla, decreased percentage of neurovascular complication and lymphedema are some of the many advantages of SLNB
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