{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:59:38Z","timestamp":1790204378807,"version":"4.1.0"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1642","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aims: Hookwire localisation (HWL) is traditionally used to guide resection of non-palpable breast lesions but is associated with patient\ndiscomfort and logistical constraints due to same-day placement. Wire-free localisation (WFL) may overcome these limitations while\nmaintaining oncological safety. This study aimed to pilot WFL adoption in a tertiary New Zealand centre and evaluate whether international\nfindings comparing HWL and WFL are reproducible, focussing on reoperation rates and patient experience.\nmethods: A cohort study was conducted at Middlemore Hospital. HWL patients were identified retrospectively and compared with\na prospectively recruited WFL cohort (Magseed n=17, Pintuition n=30, SAVI Scout n=26). The primary outcome was reoperation for\nmargin inadequacy. Secondary outcomes included patient satisfaction assessed using a structured questionnaire. Clinical, operative,\npathological and operator variables were also analysed.\nresults: A total of 216 patients were included (HWL n=143; WFL n=73). Reoperation rates were similar between groups (HWL 13% vs\nWFL 11%, p=0.8). There was a trend towards lower specimen weights with WFL. Patient-reported outcomes significantly favoured WFL\nacross overall experience, pain, distress and peri-operative comfort.\nconclusion: WFL demonstrated comparable reoperation rates to HWL, supporting oncological non-inferiority in this pilot New\nZealand cohort, with significantly improved patient experience supporting wider adoption.<\/jats:p>","DOI":"10.26635\/6965.7508","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:08:12Z","timestamp":1790201292000},"page":"81-89","source":"Crossref","is-referenced-by-count":0,"title":["Comparing hookwire and wire-free localisation techniques in breast cancer surgery: oncological and patient-reported outcomes in a New Zealand cohort"],"prefix":"10.26635","volume":"139","author":[{"given":"Yicheng","family":"Wei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruvesh","family":"Ramson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Biggar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2026,9,25]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:08:15Z","timestamp":1790201295000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1642\/comparing-hookwire-and-wire-free-localisation-techniques-in-breast-cancer-surgery-oncological-and-patient-reported-outcomes-in-a"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":0,"journal-issue":{"issue":"1642","published-online":{"date-parts":[[2026,9,25]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7508","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]}}}