Clinical Edge

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Complications After Lumpectomy and Mastectomy

Study identifies reoperation rates

Unplanned reoperations after breast cancer surgery are more frequent after mastectomy with immediate breast reconstruction (IBR) than other breast operations, according to a study of 18,500 patients who underwent surgery for breast cancer. Breast procedures were categorized as mastectomy or lumpectomy, each with or without IBR. Researchers found:

• 4% of patients required an unplanned reoperation within 30 days.

• 73% of ACS-NSQIP coded unplanned reoperations were due to complications.

• Mean time to first reoperation was 13.4 days and varied by procedure.

• Bleeding was the most common complication requiring reoperation.

• Rates of reoperation due to complication were highest in mastectomy with IBR at 7%.

Citation: Al-Hilli A, Thomsen KM, Habermann EB, Jakub JW, Boughey JC. Reoperation for complications after lumpectomy and mastectomy for breast cancer from the 2012 national surgical quality improvement program (ACS-NSQIP). Ann Surg Oncol. [Published online ahead of print, July 25, 2015]. doi: 10.1245/s10434-015-4741-7.