DOI: 10.36347/sjams.2019.v07i08.008

Pages: 2662-2668

Background: Surgery remains the primary treatment of breast cancer for over a century, though the operative treatment of breast cancer has undergone substantial changes over the time. Lumpectomy as breast conserving surgery (BCS) is gaining more acceptance than mastectomy (MRM) as the efficacy of both procedures is almost equal. This study was aimed to evaluate the early postoperative outcome of breast cancer surgery. Patient and method: It was an observational study which was conducted among the patients of Department of Surgical Oncology of NICRH from October 2016 to August 2017. All the eligible admitted patients were included into this study. They underwent definitive surgery and categorized as lumpectomy (BCS),16 patients and mastectomy (MRM) 50 patients. Results: Out of total 66 (100%) patients 16 (24.24%) underwent lumpectomy (BCS) and 50 (75.75%) underwent mastectomy (MRM). The mean age of the patients was 37.69(SD±10.31) and 44.82(SD±7.65) in lumpectomy and mastectomy respectively. Palpable axillary lymph nodes were higher in mastectomy (MRM) group (92%) than lumpectomy (BCS) group (25%) which was statistically significant (P=<0.001). Wound infection was present in (12.5%) in lumpectomy and (24%) in mastectomy group which is also statically not significant (P=0.327). Seroma was present (31.25%) in lumpectomy (BCS) and (66%) in mastectomy (MRM) respectively which is statistically significant (P=0.014). Flap necrosis was present (0%) in lumpectomy and (22%) mastectomy (MRM) and respectively which is also statistically significant (P=0.04). Mean duration of hospital stay was 6.06±0.85 and 17.70±4.70 and in lumpectomy (BCS) and mastectomy (MRM) group respectively which was statistically significant (P< 0.05). Conclusion: This study showed that seroma formation, flap necrosis, wound infection, haematoma is the most common early complications of breast cancer surgery. Lumpectomy (BCS) had better post-operative outcome than mastectomy (MRM). Proper patient selecti