Comparison of Surgical Outcomes of Breast-Conserving Surgery Performed Under Local and General Anesthesia.

Publication date: Jul 02, 2025

Surgical resection remains the cornerstone of early breast cancer treatment. However, older patients with multiple co-morbidities may be unsuitable for general anesthesia (GA). The COVID-19 pandemic necessitated some surgeries under local anesthesia (LA), especially those without an option for anti-hormonal bridging therapy. This retrospective study compares the outcomes of breast-conserving surgery (BCS) under LA and GA. Thirty-one consecutive patients under LA (April 2018-March 2022) were compared with 31 patients under GA. The primary outcomes included the length of hospital stay, postoperative complications within 1 month (including wound infections and seromas needing ≥ 3 aspirations), margin positivity, and re-operation rates. Statistical analysis was performed using R-4. 2.2 with significance set at p 

Concepts Keywords
April breast cancer
Breast breast‐conserving surgery
Pandemic comparative study
Surgery general anesthesia
local anesthesia
oncoplastic surgery
outcomes
surgical outcomes

Semantics

Type Source Name
disease MESH breast cancer
pathway KEGG Breast cancer
disease MESH morbidities
disease MESH COVID-19 pandemic
disease MESH postoperative complications
disease MESH wound infections
disease MESH seromas

Original Article

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