Oncologic Results of Breast Conserving Surgery under Procedural Sedation in Elderly Patients
- Author:
Jeeyeon LEE
1
;
Jin Hyang JUNG
;
Wan Wook KIM
;
Yang Soo LIM
;
Ryu Kyung LEE
;
Kyung Hwa KWAK
;
Ho Yong PARK
Author Information
- Publication Type:Original Article
- Keywords: Aged; Breast neoplasms; Sedation; Surgery
- MeSH: Aged; Anesthesia, General; Breast Neoplasms; Breast; Fasting; Follow-Up Studies; Humans; Incidence; Length of Stay; Mastectomy, Segmental; Postoperative Complications; Tumor Burden
- From: Journal of Breast Disease 2019;7(1):9-15
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: Although surgery is the most frequently implemented treatment modality for breast cancer, many older patients with breast cancer are under- or untreated because of their high incidence of postoperative complications. We assessed the efficacy and safety of breast surgery under procedural sedation in older patients (aged >70 years) by comparing selected clinical and oncologic factors after surgery for breast cancer under general anesthesia versus procedural sedation. METHODS: Of 79 older patients with breast cancer, 49 underwent breast-conserving surgery, 30 under general anesthesia and 19 under procedural sedation, and relevant clinical and oncologic variables were compared and analyzed between groups. RESULTS: The mean age was younger in the general anesthesia group and the mean operation time, hospital stay, and fasting time shorter in the procedural sedation group. There were no statistically significant differences in oncologic results between the two groups during follow-up. CONCLUSION: Breast surgery under procedural sedation is a safe and effective means of reducing tumor burden in older patients with breast cancer when their American Society of Anesthesiologists (ASA) physical status indicates a high risk of life-threatening perioperative complications associated with general anesthesia. And we also found that the oncologic results may be not inferior to same procedure under general anesthesia.
