RT Journal Article
SR Electronic
T1 Introducing oncoplastic breast surgery in a community hospital
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E654
OP E656
DO 10.1503/cjs.009820
VO 64
IS 6
A1 Gentles, John Quinn
A1 Chen, Leo
A1 Hwang, Hamish
YR 2021
UL http://canjsurg.ca/content/64/6/E654.abstract
AB Oncoplastic breast surgery (OPBS) has been shown to increase breast-conserving surgery with improved oncologic and cosmetic outcomes, but access to OPBS in Canada varies greatly. This article summarizes the impact of introducing OPBS in a community hospital. All breast oncology surgery cases performed before and after the introduction of OPBS by a single surgeon were reviewed. After implementing OPBS in our centre, breast conservation increased from 30% to 50%, and the positive margin rate decreased from 25% to 10%. The completion mastectomy rate was lower in patients who received OPBS, and this group had a slightly higher readmission rate for postoperative hematoma. This review suggests OPBS can be performed safely in the community setting with appropriate training and improve outcomes in breast surgery for patients in smaller centres.