关键词: 乳腺癌, 日间手术, 并发症

Abstract: ［Abstract］ Objective To determine whether there was a difference in complications among breast cancer patients undergoing day?surgery versus overnight or inpatient stay. Methods 108 patients with breast cancer undergoing mastectomy and axillary lymph node dissection between Dec 2016 and Feb 2019 were included in this study. Among them， 24 cased underwent daytime surgery （day?surgery group）， 32 stayed in hospital overnight （overnight group） and 52 stayed in hospital longer than 2 day postoperatively （normal group）. The clinical data were analyzed and compared between three groups. Results The operation time of the three groups was close， and the use of analgesics in the day?surgery group was more than that in the other two groups， but the differences were not statistically significant. The number of community medical and outpatient visits increased in the day?surgery group after leaving hospital， and there was a significant difference between the two groups after more than two days of admission. The total medical expenses in the daytime operation group were significantly lower than those in the other two groups. There was no significant difference in incision bleeding， hematoma， surgical site infection and pain among the three groups. Conclusion Day? surgery of breast cancer with less cost， no severe complications occurred in outpatients， can be safely and comfortably performed on an outpatient basis.

Key words: breast cancer, complications, day?surgery