title: [Mastectomy in ambulatory hospitalization or 24hours: Feasibility, satisfaction and preferences of the patients].
abstract: The aim of this study is to analyze the feasibility of ambulatory hospitalization or 24hours hospitalization for breast cancer treatment by mastectomy, as well as the satisfaction and the preferences of patients with regard to these ways of hospitalization.
  
  
  METHODS
  This observational retrospective study listed the patients operated for breast cancer who had required a mastectomy at the institute Paoli-Calmettes between the 1st of January 2013 and June 30th, 2015. A questionnaire of satisfaction was proposed to the patients regarding their mode of hospitalization.
  
  
  RESULTS
  One hundred and thirteen patients were included among which 29 were in the ambulatory group and 84 in the 24hours hospitalization group. The complications were represented by the rate of hematomas (3.5 %), which required a surgical resumption for two of the patients in the 24hours hospitalization group and for one patient in the ambulatory group (P=0.75). Patient's satisfaction rate was globally high: 72.7 % regardless of the mode of hospitalization (P=0.064).
  
  
  CONCLUSIONS
  The realization of mastectomy in ambulatory hospitalization seems feasible when the organization in pre- and postoperative is anticipated with a high degree of satisfaction of the patients. The psychological impact of this radical surgery seems to be a factor to be taken into account and requires a meticulous selection of the patients.
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France. Electronic address: lobellesandrine@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Lobelle
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: M
authors.initials: M
authors.lastname: Raylet
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: M
authors.initials: M
authors.lastname: Cohen
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: E
authors.initials: E
authors.lastname: Lambaudie
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: M
authors.initials: M
authors.lastname: Bannier
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Blache
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: D
authors.initials: D
authors.lastname: Francon
authors.affiliation: Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Houvenaeghel
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008408:Mastectomy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D057240:Patient Preference / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies
keywords: Ambulatory surgery; Breast cancer; Cancer du sein; Chirurgie ambulatoire; Mastectomie; Mastectomy