<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">EICHLER, CHRISTIAN</style></author><author><style face="normal" font="default" size="100%">WESTERHOFF, ANKE</style></author><author><style face="normal" font="default" size="100%">WARM, MATHIAS</style></author><author><style face="normal" font="default" size="100%">HANSTEIN, BETTINA</style></author><author><style face="normal" font="default" size="100%">PUPPE, JULIAN</style></author><author><style face="normal" font="default" size="100%">KRUG, BARBARA</style></author><author><style face="normal" font="default" size="100%">MALTER, WOLFRAM</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Improving Breast Conserving Surgery Using the Faxitron&lt;sup&gt;®&lt;/sup&gt; OR Specimen Radiography System – A Complication Analysis, Cost Evaluation and Literature Review</style></title><secondary-title><style face="normal" font="default" size="100%">Anticancer Research</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2022-04-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">1925-1932</style></pages><doi><style  face="normal" font="default" size="100%">10.21873/anticanres.15670</style></doi><volume><style face="normal" font="default" size="100%">42</style></volume><issue><style face="normal" font="default" size="100%">4</style></issue><abstract><style  face="normal" font="default" size="100%">Background/Aim: The combination of pre-surgical clip placement and hook-wire guided surgery is considered the gold standard for adequately locating non-palpable lesions during breast conserving surgery. After surgical removal of the segment, radiography is required to confirm clip removal, increasing surgical time, post-surgical complication rates, and cost. Patients and Methods: We performed a retrospective analysis, using the Faxitron® in-theater specimen radiography system, of the following primary endpoints: surgical time and complication rates. The secondary endpoints were cost effectiveness and clip-location rates. The Control cohort included breast conserving surgery patients prior to May 2019 (n=150) and the Validation cohort included breast conserving surgery patients after May 2019 (n=53). Results: The analysis showed an improvement in surgical time when using the Faxitron® system, which is directly linked to a benefit in cost effectiveness. A numerical benefit in complication rates was also shown. A subgroup analysis showed a significant advantage in surgical time for breast conserving surgery plus sentinel node biopsy and open breast biopsies. Conclusion: Use of the Faxitron® system significantly reduces surgical time, which increases cost efficiency while maintaining a low complication rate.</style></abstract></record></records></xml>