López Díaz, Adlin, Miguel Martín, Juan, Rodríguez Paleo, Lester, Loyz Fernández, Jorge L., González Espinosa, Claudia, González, Joaquín J., Guerrero Cancio, Mayka, Roque Díaz, Reinaldo, Dranguet Palacios, Orlando, Pérez González, Francisco, Caridad Rubio, María, García Rodríguez, Berta, and Varela Corona, Consuelo
This work summarizes the results of the national project Comprehensive quality improvement in the diagnosis and treatment of patients with cancer and other diseases, incorporating and strengthening radioguided surgery techniques. This project had the objective of raising the quality in the diagnosis and treatment of patients with cancer and other diseases, by introducing, expanding and optimizing the clinical use of radioguided surgery in Cuba. First, the technique was started in the “Hermanos Ameijeiras” hospitals, the National Institute of Oncology and Radiobiology and the Center for Medical Surgical Research, with the protocolized follow-up and the analysis of the clinical impact, the national guidelines were drawn up and the accreditation proceeded. of courses and workshops for the training of human resources, guaranteeing sustainability and extension to other hospitals. As main results, in February 2020, 570 breasts had been operated with this technique, with a rate between 65-70 % of unnecessary axillary emptyings avoided, noting the improvement in staging and diagnostic precision the decrease in surgical time per patient in 30 %, lower costs of surgery, fewer associated complications and shorter hospital stays due to minimally invasive surgery and a significant improvement in the quality of life of patients. Conclusions: radioguided surgery was introduced and consolidated as an oncological surgical optimization method. [ABSTRACT FROM AUTHOR]