Clinical practice of same-day surgery mode of Mammotome minimally invasive operation in ambulatory surgery center_West China Medical Journal

Authors：

WANG Yu ¹ , LIU Yang ² , MA Hongsheng ² ,  DAI Yan ¹

1. Day Surgery Center, West China Hospital, Sichuan University / West China School of Nursing , Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DAI Yan, Email: 1846703501@qq.com

Keywords：

Mammotome minimally invasive operation; Ambulatory surgery; Application

DOI：

10.7507/1002-0179.202012274

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Objective To explore the utility and advantage of same-day surgery mode of Mammotome minimally invasive operation (MMT) in ambulatory surgery center, and summarize the key points of clinical management.Methods Female patients who underwent MMT in West China Hospital of Sichuan University between June and December 2019 were included. According to the operation mode, the patients were divided into same-day surgery group and routine group (routine day operation). The perioperative data were analyzed.Results A total of 1 297 female patients were included. Among them, 571 cases were in the same-day surgery group and 726 cases were in the routine group. There was no significant difference in baseline data, intra-operative bleeding volume, operation time, or complication rate between the two groups (P>0.05). There were significant differences in the number of masses (χ²=13.384, P<0.001), pathological type (χ²=11.990, P=0.007) and operation method (χ²=89.185, P<0.001). The length of hospital stay in the same-day surgery group was significantly shorter than that in the routine group (Z=–29.746, P<0.001); the cost of biopsy (Z=–8.549, P<0.001), the cost of surgical instruments (Z=–9.564, P<0.001), and the total cost of hospitalization (Z=–10.378, P<0.001) in the same-day surgery group were less than those in the routine group. In addition, the result of generalized estimating equation showed that the postoperative pain scores of patients in the same-day surgery group were lower than those in the routine group (P<0.001).Conclusions The same-day surgery mode of MMT is safe and feasible with high time economic benefits, which is worthy promoting in ambulatory surgery center. Cautions should addressed with patients’ safe and high-quality health education.

Citation： WANG Yu, LIU Yang, MA Hongsheng, DAI Yan. Clinical practice of same-day surgery mode of Mammotome minimally invasive operation in ambulatory surgery center. West China Medical Journal, 2021, 36(2): 178-182. doi: 10.7507/1002-0179.202012274 Copy

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2.	陈盛, 邵志敏. 乳腺肿瘤外科治疗策略与进展. 中国实用外科杂志, 2015, 35(7): 693-696.
3.	雷玉涛, 侯宽永, 崔立刚, 等. 乳腺微创旋切术在乳房良性肿瘤诊疗中的应用. 中国微创外科杂志, 2009, 9(12): 1122-1125.
4.	陈荣恒, 甄作均, 谭家驹, 等. 乳腺Mammotome微创旋切系统在日间手术中心的应用分析. 中华普通外科学文献(电子版), 2014, 8(1): 37-39.
5.	徐林梧, 王晓霞, 司徒小新. 乳腺微创旋切系统治疗多发乳腺小结节的效果及优势分析. 中国普通外科杂志, 2016, 25(5): 776-779.
6.	朱菲菲, 宋琦. 乳腺良性肿瘤日间手术治疗的临床疗效及其意义. 山东医药, 2019, 59(22): 83-85.
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9.	Lai JT, Burrowes P, MacGregor JH. Vacuum-assisted large-core breast biopsy: complications and their incidence. Can Assoc Radiol J, 2000, 51(4): 232-236.
10.	Costantini R, Sardellone A, Marino C, et al. Vacuum-assisted core biopsy (Mammotome) for the diagnosis of non-palpable breast lesions: four-year experience in an Italian center. Tumori, 2005, 91(4): 351-354.
11.	Fang M, Liu G, Luo G, et al. Feasibility and safety of image-guided vacuum-assisted breast biopsy: a PRISMA-compliant systematic review and meta-analysis of 20 000 population from 36 longitudinal studies. Int Wound J, 2019, 16(6): 1506-1512.
12.	张晓红, 张靖, 杨艳英, 等. 乳腺微创旋切系统日间手术的应用分析. 西南军医, 2015, 17(5): 486-487.
13.	邓婕, 宋喜国, 姚奕婷, 等. 以历史费用为基础的单病种费用与成本-效益分析: 以乳腺良性肿瘤为例. 中国卫生经济, 2018, 37(9): 50-53.
14.	杜姣姣, 宋应寒, 李诗涵, 等. 疼痛护理在日间腹腔镜胆囊切除术患者中的干预效果. 华西医学, 2017, 32(11): 1667-1670.
15.	戴燕, 马洪升, 张雨晨. 华西日间手术护理管理制度规范构建与实践. 华西医学, 2017, 32(4): 497-499.
16.	刘常清, 任宏飞, 李继平, 等. 日间手术管理模式与发展现状. 护理研究, 2016, 30(28): 3466-3469.
17.	马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范. 中国胸心血管外科临床杂志, 2016, 23(2): 104-106.
18.	Armstrong KA, Coyte PC, Brown M, et al. Effect of home monitoring via mobile app on the number of in-person visits following ambulatory surgery: a randomized clinical trial. JAMA Surg, 2017, 152(7): 622-627.

1. Liao MN, Chen PL, Chen MF, et al. Supportive care for taiwanese women with suspected breast cancer during the diagnostic period: effect on healthcare and support needs. Oncol Nurs Forum, 2009, 36(5): 585-592.
2. 陈盛, 邵志敏. 乳腺肿瘤外科治疗策略与进展. 中国实用外科杂志, 2015, 35(7): 693-696.
3. 雷玉涛, 侯宽永, 崔立刚, 等. 乳腺微创旋切术在乳房良性肿瘤诊疗中的应用. 中国微创外科杂志, 2009, 9(12): 1122-1125.
4. 陈荣恒, 甄作均, 谭家驹, 等. 乳腺Mammotome微创旋切系统在日间手术中心的应用分析. 中华普通外科学文献(电子版), 2014, 8(1): 37-39.
5. 徐林梧, 王晓霞, 司徒小新. 乳腺微创旋切系统治疗多发乳腺小结节的效果及优势分析. 中国普通外科杂志, 2016, 25(5): 776-779.
6. 朱菲菲, 宋琦. 乳腺良性肿瘤日间手术治疗的临床疗效及其意义. 山东医药, 2019, 59(22): 83-85.
7. Jarrett PEM. The international association for ambulatory surgery (IAAS). Ambulat Surg, 2003, 10(3): 113.
8. 刘常清, 任宏飞, 周倩, 等. 乳腺良性病变患者在病房实施日间手术的管理及效果评价. 中华护理杂志, 2019, 54(2): 244-249.
9. Lai JT, Burrowes P, MacGregor JH. Vacuum-assisted large-core breast biopsy: complications and their incidence. Can Assoc Radiol J, 2000, 51(4): 232-236.
10. Costantini R, Sardellone A, Marino C, et al. Vacuum-assisted core biopsy (Mammotome) for the diagnosis of non-palpable breast lesions: four-year experience in an Italian center. Tumori, 2005, 91(4): 351-354.
11. Fang M, Liu G, Luo G, et al. Feasibility and safety of image-guided vacuum-assisted breast biopsy: a PRISMA-compliant systematic review and meta-analysis of 20 000 population from 36 longitudinal studies. Int Wound J, 2019, 16(6): 1506-1512.
12. 张晓红, 张靖, 杨艳英, 等. 乳腺微创旋切系统日间手术的应用分析. 西南军医, 2015, 17(5): 486-487.
13. 邓婕, 宋喜国, 姚奕婷, 等. 以历史费用为基础的单病种费用与成本-效益分析: 以乳腺良性肿瘤为例. 中国卫生经济, 2018, 37(9): 50-53.
14. 杜姣姣, 宋应寒, 李诗涵, 等. 疼痛护理在日间腹腔镜胆囊切除术患者中的干预效果. 华西医学, 2017, 32(11): 1667-1670.
15. 戴燕, 马洪升, 张雨晨. 华西日间手术护理管理制度规范构建与实践. 华西医学, 2017, 32(4): 497-499.
16. 刘常清, 任宏飞, 李继平, 等. 日间手术管理模式与发展现状. 护理研究, 2016, 30(28): 3466-3469.
17. 马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范. 中国胸心血管外科临床杂志, 2016, 23(2): 104-106.
18. Armstrong KA, Coyte PC, Brown M, et al. Effect of home monitoring via mobile app on the number of in-person visits following ambulatory surgery: a randomized clinical trial. JAMA Surg, 2017, 152(7): 622-627.

West China Medical Journal

Clinical practice of same-day surgery mode of Mammotome minimally invasive operation in ambulatory surgery center

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