Local Anesthesia to Improve Postoperative Outcome for Breast Cancer Surgery: Preliminary Results
Chung‐Hsin TsaiYung‐Wei HsuShih‐Ping ChengChien‐Liang LiuTsen‐Long YangChun-Yueh LinWilliam C. DooleyYuan‐Ching Chang
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Abstract:
Introduction: The purpose of this study was to determine safety and feasibility of breast surgery under local anesthesia (LA) combined with adequate sedation.
Patients and Methods: Based on extensive satisfaction surveys, an anesthetic technique was developed that decreased nausea and pain, and reduced perioperative narcotic use. Using this new algorithm, patients treated by a single surgeon were given the choice of local anesthesia with adequate sedation.
Results: From August 1, 2006 to December 31, 2007, 50 mastectomies or lumpectomy/axillary dissections were performed in 50 patients. Less postoperative nausea and vomiting (PONV) and less pain were noted in the LA group.
Conclusions: Local block mastectomy can be safely performed. It can result in markedly improved postoperative outcome without incurring additional morbidity or mortality. Less nausea/vomiting and less pain infer better quality of cancer care and higher overall patient satisfaction.Keywords:
Lumpectomy
Narcotic
Local anesthesia