Anesthesia and postoperative pain control for ambulatory breast cancer surgery

作者：Francon D^*; Nguyen Duong L; Lambaudie E; Cohen M; Blache J L

来源：Oncologie, 2015, 17(1-2): 26-32.

DOI：10.1007/s10269-015-2483-6

• Cancer
• Breast
• Ambulatory
• Anesthesia
• Pain
• Surgery

Ambulatory breast cancer surgery is increasing in France, but in 2012 only 8% of breast cancer patients underwent surgery with hospital stays lasting for less than 12 h. Breast cancer surgery is now less invasive with treatment moving toward breast conservation and sentinel node biopsy. The complexity of patient management with several practitioners can be a principal limiting factor, without rigorous selection of patients and a strong organization. Multidisciplinary approach of health professionals is essential, particularly if using intraoperative radiation. Adequate pain relief and prevention of nausea and vomiting in high-risk population should be planned during anesthesia and after discharge. The challenge is to provide safe and effective anesthesia-analgesia with total intravenous anesthesia, reduced opioid use, and local anesthesia continuous infiltration to preserve quality of life and limit immunology depression. Recent improvements must be used in outpatient breast cancer surgery. Follow up at home with perioperative surgical home (PSH) could be improved by patient education activities and by software interface to connect professionals and patients.

• 出版日期2015-2