Abstract:
OBJECTIVE: The Breast Cancer Surgery Operative Standards Consensus Conference aimed to establish industry technical standards and improve breast cancer surgery practices by addressing controversial and operative breast cancer surgery-related issues in clinical practice.The conference was led by the Breast Oncoplastic and Reconstruction Branch of Guangdong Medical Industry Association (GMIA) and involved 85 breast surgeons with expertise in breast cancer conserving, oncoplastic, and reconstructive surgery.Consensus was reached through 3 meetings.The first meeting brought up the topics of interest, and evidence summaries were presented for debate during the second meeting; the third meeting was held to reach consensus recommendation for selected topics.Pre-defined consensus criteria required that the consensus was reached only when more than 70% of the panelists agreed on the topic.Out of the 57 questions set for voting, 11 operative standards were recommended as Preferred, and one was recommended as Considered.Preferred operative standards included surgical details in breast conserving surgery, mastectomy, reconstructive surgery, surgical treatment of phyllodes tumor.Selected topics that did not reach consensus among the panelists were also discussed.These Preferred operative standards could help guide clinical surgical practice in routine patient care.
摘要:
目的:乳腺癌手术标准共识会议旨在通过解决临床实践中与乳腺癌手术相关的争议和手术问题,建立行业技术标准并改善乳腺癌手术实践。会议由广东省医疗工业协会(GMIA)乳腺肿瘤及重建分会牵头,85名具有乳腺癌保存专业知识的乳腺外科医师参加,致癌塑料,重建手术.通过3次会议达成了共识。第一次会议提出了感兴趣的话题,并提交了证据摘要供第二次会议辩论;举行了第三次会议,以就选定的主题达成共识建议。预定义的共识标准要求只有在超过70%的小组成员就该主题达成共识时才达成共识。在准备投票的57个问题中,11个手术标准被推荐为首选,一个被推荐为考虑。首选手术标准包括保乳手术的手术细节,乳房切除术,重建手术,叶状肿瘤的手术治疗。还讨论了小组成员之间未达成共识的选定主题。这些首选的手术标准可以帮助指导常规患者护理中的临床手术实践。