Is nipple sparing mastectomy associated with increased complications, readmission and length of stay compared to skin sparing mastectomy?
Complication
Length stay
Nipple sparing mastectomy
Reoperation
Skin sparing mastectomy
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
23
07
2019
revised:
26
08
2019
accepted:
10
09
2019
pubmed:
22
9
2019
medline:
3
7
2020
entrez:
22
9
2019
Statut:
ppublish
Résumé
We sought to determine rates of complications, reoperation, and length of stay (LOS) between nipple-sparing (NSM) and skin-sparing (SSM) mastectomy patients, hypothesizing that rates would be higher in the former. Patients undergoing NSM or SSM at our institution between January 1, 2010 and December 31, 2017 were compared. 217 patients underwent NSM; 581 underwent SSM. NSM patients were more likely to be younger, with private insurance, lower BMI, lighter breasts, have bilateral mastectomy, with implant-based reconstruction, for BRCA, and/or lower stage disease and were less likely to have diabetes, axillary dissection, and/or neoadjuvant therapy. Controlling for these factors, NSM patients had a higher complication rate than SSM patients (OR: 1.822; 95% CI: 1.163-2.853, p = 0.009). Length of stay and reoperation rates were not significantly different between the two groups. NSM and SSM patients have similar reoperation rates and LOS; however, complication rate is higher in NSM patients.
Identifiants
pubmed: 31540681
pii: S0002-9610(19)31023-2
doi: 10.1016/j.amjsurg.2019.09.011
pii:
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1030-1035Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.