Acta Oncol Tur.. 2019; 52(1): 184-188 | DOI: 10.5505/aot.2019.37232

Surgical Treatment of Early Breast Cancer Under Local Anesthesia

Kemal Beksaç, Bahadýr Çetin
Ankara Oncology Hospital, Department of General Surgery, Ankara, Turkey

INTRODUCTION: To show the viability of breast-conserving surgery under local anesthesia.
METHODS: 60 consecutive breast cancer patients treated with breast-conserving surgery under local anesthesia are reported in this study. Wide excisional biopsy and sentinel lymph node biopsy were performed in all patients. Wire-guided biopsy method was used in non-palpable lesions. Techniques used are described in detail.
RESULTS: Average time between excisional biopsy and sentinel lymph node biopsy was 27.1±3 days. Wire-guided excisional biopsy was the method of choice in 24 (40%) patients. In 51 of 60 (85%) patients, surgery was completed under local anesthesia. 9 (15%) patients’ sentinel lymph node biopsy result was tumour-positive. These patients required axillary dissection under general anesthesia. None of the patients showed intolerance to surgery under local anesthesia.
DISCUSSION AND CONCLUSION: Surgery under local anesthesia provides significantly better patient comfort as the patients can be handled in the outpatient clinic. Local anesthesia is free of side effects and extra costs of general anesthesia are avoided. Our report is a good addition to the literature supporting the viability of the technique.

Keywords: Breast cancer, breast conserving surgery, local anesthesia, sentinel lymph node

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Erken Evre Meme Kanserinin Lokal Anestezi Altýnda Cerrahi Tedavisi

Kemal Beksaç, Bahadýr Çetin
Ankara Onkoloji Hastanesi, Genel Cerrahi Ana Bilim Dalý, Ankara, Türkiye

GÝRÝÞ ve AMAÇ: Meme koruyucu cerrahinin lokal anestezi altýnda yapýlabileceðini göstermek.
YÖNTEM ve GEREÇLER: Ardýþýk 60 meme kanseri hastasýna lokal anestezi altýnda meme koruyucu cerrahi uygulandý. Bütün hastalara lumpektomi ve sentinel lenf nodu biyopsisi uygulandý. Palpe edilemeyen lezyonlar tel ile iþartelendi. Yapýlan iþlem detaylý bir þekilde açýklandý.
BULGULAR: Eksizyonel biyopsi ve sentinel lenf nodu biyopsisi arasý ortalama süre 27,1±3 gündü. 24 (%40) hastada telle iþaretli biyopsi gerekli oldu. 51 (%85) hastada cerrahi lokal anestezi altýnda tamamlandý. 9 (%15) hastada sentinel lenf nodu biyopsisi tümör-pozitifti. Bu hastalara genel anestezi altýnda aksilla diseksiyonu yapýldý. Hiçbir hastanýn lokal anesteziye intoleransý olmadý.
TARTIÞMA ve SONUÇ: Lokal anestezi altýnda bariz bir þekilde hasta konforu saðladý. Bu sayede hastalar günübirlik cerrahide tedavi oldular ve genel anestezinin yan etkilerinden ve ekstra maliyetten kaçýnýlmýþ olundu. Bizim sonuçlarýmýz tekniðin yapýlabilirliðinin güzel bir göstergesidir.

Anahtar Kelimeler: Meme kanseri, meme koruyucu cerrahi, lokal anestezi, sentinel lenf nodu

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