Summary
Sentinel lymph node biopsy for malignant melanoma has been performed as day surgery
at our hospital since August 2002. The aim of this retrospective study was to assess
its feasibility compared to the inpatient procedure.
Methods
A telephone survey and review of medical records was carried out for patients who
had daycase, nonhead and neck sentinel lymph node biopsy for malignant melanoma over
an 18-month period. A similar matched number of inpatients were reviewed, comparing
waiting times, prolonged hospital stay, complication rates and overall satisfaction.
Results
There were no significant differences between the two groups in terms of time from
diagnosis to surgery, prolonged hospital stay and complication rates. However, in
terms of overall satisfaction, 86.3% of daycase patients preferred their mode of admission
whereas 52.9% of inpatients preferred their mode of admission (P=0.0003).
Conclusions
Sentinel lymph node biopsy (nonhead and neck) for malignant melanoma as day surgery
is feasible and confers greater patient satisfaction, increased availability of inpatient
beds and cost savings without compromising patient care.
Keywords
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References
- Multi-institutional melanoma lymphatic mapping experience: the prognostic value of sentinel lymph node status in 612 stage I or II melanoma patients.J Clin Oncol. 1999; 17: 976-983
- The NHS Cancer plan: a plan for investment, a plan for reform. September 2000 (Available from:)
- NHS could save more than £700m by increasing productivity. June 2006 (Available from:)
Article info
Publication history
Published online: February 02, 2007
Accepted:
November 29,
2006
Received:
August 6,
2006
Footnotes
☆Abstract submitted to BAPRAS 2006 Winter Scientific Meeting for consideration for presentation.
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
