United Kingdom Multiunit Review of Operating Times and Inpatient Stay for Major Head and Neck Oncology Surgery
Major cancer operations have advanced considerable since there development in the mid twentieth century, and in most regional maxillofacial centres free flap reconstruction following resections are routine procedures. However to enable accurate planning and costing, and to provide meaningful consent, it is vital to have reliable data for the duration of operation and inpatient stay. Nearly all aspects of major cancer surgery has been researched, by we cannot identify any recent studies which look at length of operations and inpatient stay for Head and Neck Oncology
Aims and Methods
We retrospectively studied two major London cancer units Northwick Park and University College London hospital and covering 240 Major Head and Neck Oncology operations and subsequent inpatient stays.
Results & Conclusions
Hemi-mandibulectomy with free flap reconstruction with and without neck dissection and maxilectomy with free flap reconstruction or with provision of an obturator, and glosectomies with free flap reconstruction made up the majority of operations performed. With average times of 9.35hrs, 7.30hr, 8.65hrs, 2.25hr ,6.43hrs respectively. With average lengths of stays ranging form 7 days accounting for 25% to 5 months accounting for 1%. While we are awaiting further breakdown of these result for presentation at conference This data provides a starting point for national benchmarks of major Head and Neck Oncology operations.
Refrences:
1. http://www.hqip.org.uk, Head and Neck Cancer Audit 2011, 2012