Is the reexcision rate higher if breast conservation surgery is performed by surgical trainees?

American Journal of Surgery
Krishna MoorthyMichael Callam

Abstract

It is essential that surgical trainees obtain adequate operative experience without compromising patient outcome. The aim of this study was to compare the reexcision and local recurrence rates between consultants (attending surgeons) and surgical trainees (residents) after breast conservation surgery. Prospective data were obtained from the local breast cancer registry for all patients who had breast-conservation surgery between 1994 and 2000. Reexcision was carried out if the margins were deemed inadequate after taking the clinical and pathologic features into consideration. The primary operation (n = 505) was wide local excision = 377; wire-guided excisions = 107; and quadrantectomy = 21 patients. Sixty-five percent (n = 330) were operated on by consultants and 35% (n = 175) by residents. Second procedures (n = 137) were performed for involved margins in 95 and close margins in 31 patients. The patients in both groups were equally matched. The reexcision rate was similar for both groups of surgeons (P = 0.58). On multivariate analysis, the factors determining reexcision were nodal status, type of first procedure, and tumor type. The local recurrence rate was comparable in both groups (P = 0.33). In patients with breast cancer...Continue Reading

References

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Citations

Jan 1, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Marco Aurélio de GeorgeWilliam Kondo
Jul 31, 2013·Breast Cancer Research and Treatment·Marianna de Camargo CancelaLinda Sharp
Jan 27, 2005·Journal of Women's Health
Jul 29, 2008·Journal of the American College of Surgeons·Hunter R MoyerAlbert Losken
Jul 21, 2015·Journal of Surgical Education·Abraham M TsigonisJane M Hudak
Nov 1, 2011·American Journal of Surgery·Brenda AguilarRichard Gray
Dec 13, 2005·The Breast : Official Journal of the European Society of Mastology·S E J JanesB Isgar
Apr 9, 2008·American Journal of Surgery·Rajeev RamanahDidier Riethmuller
May 25, 2015·Surgery Today·Gina R ShirahIan K Komenaka
Jan 16, 2015·American Journal of Surgery·Jennifer K PlichtaConstantine Godellas
Dec 10, 2017·Hormone Molecular Biology and Clinical Investigation·Niko HeissJean-François Delaloye
Jul 25, 2008·Annals of Surgery·Noelia M ZorkRobert J Goulet
Jul 12, 2019·Breast Cancer Research and Treatment·Joel VanderVeldeIan K Komenaka
May 23, 2009·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·C DenerS Demirci

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