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

Video：

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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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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.	張曉紅, 張靖, 楊艷英, 等. 乳腺微創旋切系統日間手術的應用分析. 西南軍醫, 2015, 17(5): 486-487.
13.	鄧婕, 宋喜國, 姚奕婷, 等. 以歷史費用為基礎的單病種費用與成本-效益分析: 以乳腺良性腫瘤為例. 中國衛生經濟, 2018, 37(9): 50-53.
14.	杜姣姣, 宋應寒, 李詩涵, 等. 疼痛護理在日間腹腔鏡膽囊切除術患者中的干預效果. 華西醫學, 2017, 32(11): 1667-1670.
15.	戴燕, 馬洪升, 張雨晨. 華西日間手術護理管理制度規范構建與實踐. 華西醫學, 2017, 32(4): 497-499.
16.	劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 2016, 30(28): 3466-3469.
17.	馬洪升, 程南生, 朱濤, 等. 華西醫院日間手術快速康復(ERAS)規范. 中國胸心血管外科臨床雜志, 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. 陳盛, 邵志敏. 乳腺腫瘤外科治療策略與進展. 中國實用外科雜志, 2015, 35(7): 693-696.
3. 雷玉濤, 侯寬永, 崔立剛, 等. 乳腺微創旋切術在乳房良性腫瘤診療中的應用. 中國微創外科雜志, 2009, 9(12): 1122-1125.
4. 陳榮恒, 甄作均, 譚家駒, 等. 乳腺Mammotome微創旋切系統在日間手術中心的應用分析. 中華普通外科學文獻(電子版), 2014, 8(1): 37-39.
5. 徐林梧, 王曉霞, 司徒小新. 乳腺微創旋切系統治療多發乳腺小結節的效果及優勢分析. 中國普通外科雜志, 2016, 25(5): 776-779.
6. 朱菲菲, 宋琦. 乳腺良性腫瘤日間手術治療的臨床療效及其意義. 山東醫藥, 2019, 59(22): 83-85.
7. Jarrett PEM. The international association for ambulatory surgery (IAAS). Ambulat Surg, 2003, 10(3): 113.
8. 劉常清, 任宏飛, 周倩, 等. 乳腺良性病變患者在病房實施日間手術的管理及效果評價. 中華護理雜志, 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. 張曉紅, 張靖, 楊艷英, 等. 乳腺微創旋切系統日間手術的應用分析. 西南軍醫, 2015, 17(5): 486-487.
13. 鄧婕, 宋喜國, 姚奕婷, 等. 以歷史費用為基礎的單病種費用與成本-效益分析: 以乳腺良性腫瘤為例. 中國衛生經濟, 2018, 37(9): 50-53.
14. 杜姣姣, 宋應寒, 李詩涵, 等. 疼痛護理在日間腹腔鏡膽囊切除術患者中的干預效果. 華西醫學, 2017, 32(11): 1667-1670.
15. 戴燕, 馬洪升, 張雨晨. 華西日間手術護理管理制度規范構建與實踐. 華西醫學, 2017, 32(4): 497-499.
16. 劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 2016, 30(28): 3466-3469.
17. 馬洪升, 程南生, 朱濤, 等. 華西醫院日間手術快速康復(ERAS)規范. 中國胸心血管外科臨床雜志, 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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