A novel modality for intraoperative margin assessment and its impact on re-excision rates in breast conserving surgery - 24/04/18
Abstract |
Background |
A single center retrospective chart review was performed examining the ability of a novel radiofrequency probe (Margin Probe; Dune Medical Devices, Caesarea, Israel) for intraoperative margin assessment to reduce the number of reexcisions in breast-conserving surgery.
Methods |
Reexcision rates were evaluated in one-hundred and twenty consecutive patients before and after the institution of the device. Utility of the device was evaluated by comparing intraoperative feedback with postoperative pathology reports.
Results |
Two hundred and forty patient subjects were reviewed in total. There was a significant decrease in the re-lumpectomy rate (50%, p = 0.039) in the device group without increasing the total volume of tissue resected.
Conclusions |
The use of the MarginProbe device as an adjunct to the standard of care resulted in reduction of positive margins after lumpectomy and the number of re-excisions, significantly improving outcomes in breast-conserving surgery at our institution.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The use of a radiofrequency probe significantly reduces reexcision rates. |
• | This can be accomplished with 2 shavings on average per case. |
• | The total volume of resection is not increased. |
Plan
Vol 215 - N° 3
P. 400-403 - mars 2018 Retour au numéro
Article précédent
- Discussion of: Accurate surgical skills evaluation: Does it mandate raters have a medical background?
- Discussion of: A novel modality for intraoperative margin assessment and its impact on re-excision rates in breast conserving surgery
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