Breast Cancer and Ambulatory Surgery

Ambulatory breast cancer surgery is not well developed in France. Only 5 per cent of breast cancer patients undergoing surgery were offered surgery as an ambulatory procedure. However, breast conserving surgery seems a good indication for this procedure with short operative time, few morbidity, few pain and many asymptomatic patients. The principal limiting factors were the non-motivating reimbursement policy (before March 2014), the complexity of patient’s management for small breast tumors (several practitioners involved) and the psychological environment inferred by cancer diagnosis. A strong organization before, during and after operative procedure, but also a large public advertisement are necessary to improve ambulatory in breast cancer surgery.