Safety and feasibility of performing sentinel lymph node biopsy for periorbital malignancies at freestanding outpatient surgical centers.

IF 0.9 Q4 OPHTHALMOLOGY

Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-02-28 DOI:10.1080/01676830.2025.2453972

Alexander A Dennis, Delaram Mirzania, Zhenyang Zhao, Scott A McLean, Hakan Demirci, Vinay Aakalu, Christine C Nelson

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引用次数: 0

Abstract

Purpose: Sentinel lymph node biopsy (SLNB) is vital for stratifying and treating facial and periorbital malignancies, but data on SLNB performed in freestanding outpatient surgical centers (OSC) is scarce.

Methods: A retrospective review was conducted on 79 consecutive SLNB procedures from September 2014 to November 2022 at an academic hospital (46 cases) and OSCs (33 cases) affiliated with our institution. We compared demographics, clinical characteristics, wait time, operative time, estimated blood loss (EBL), and complications.

Results: Patients at OSCs were younger (mean age 62 vs. 73, p < 0.001) and had lower perioperative risk (ASA score 2.18 vs. 2.71, p < 0.001) than those in a hospital setting. SLNB procedures at OSCs were shorter (73 vs. 113 minutes, p < 0.001) with significantly less EBL (11.48 mL vs. 45.53 mL, p = 0.03), and no complications.

Conclusions: SLNB procedures for eligible patients are safe and effective when performed at freestanding outpatient surgical centers affiliated with our institution.

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在独立门诊外科中心进行眼眶周围恶性肿瘤前哨淋巴结活检的安全性和可行性。

目的：前哨淋巴结活检（SLNB）对于面部和眶周恶性肿瘤的分层和治疗至关重要，但在独立门诊手术中心（OSC）进行的SLNB数据很少。方法：回顾性分析我院附属某学术医院（46例）和osc（33例）2014年9月至2022年11月连续79例SLNB手术。我们比较了人口统计学、临床特征、等待时间、手术时间、估计失血量（EBL）和并发症。结果：OSCs患者较年轻（平均年龄62岁vs. 73岁，p p p p = 0.03），无并发症。结论：在我院附属独立门诊手术中心对符合条件的患者进行SLNB手术是安全有效的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery OPHTHALMOLOGY-

CiteScore

2.40

自引率

9.10%

发文量

136

期刊介绍： Orbit is the international medium covering developments and results from the variety of medical disciplines that overlap and converge in the field of orbital disorders: ophthalmology, otolaryngology, reconstructive and maxillofacial surgery, medicine and endocrinology, radiology, radiotherapy and oncology, neurology, neuroophthalmology and neurosurgery, pathology and immunology, haematology.