Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Early experiences with robot-assisted prosthetic breast reconstruction

  • Ahn, Sung Jae (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Song, Seung Yong (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Park, Hyung Seok (Department of Surgery, Yonsei University College of Medicine) ;
  • Park, Se Ho (Department of Surgery, Yonsei University College of Medicine) ;
  • Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Roh, Tai Suk (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Dong Won (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
  • Received : 2018.01.09
  • Accepted : 2018.07.10
  • Published : 2019.01.15
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Abstract

Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipple-sparing mastectomy with immediate reconstruction is currently performed to avoid breast scars. Four patients with invasive ductal carcinoma underwent robot-assisted nipple-sparing mastectomy and immediate robot-assisted expander insertion. Through a 6-cm incision along the anterior axillary line, sentinel lymph node biopsy and nipple-sparing mastectomy were performed by oncologic surgeons. The pectoralis major muscle was elevated, an acellular dermal matrix (ADM) sling was created with robotic assistance, and an expander was inserted into the subpectoral, sub-ADM pocket. No patients had major complications such as hematoma, seroma, infection, capsular contracture, or nipple-areolar necrosis. The mean operation time for expander insertion was 1 hour and 20 minutes, and it became shorter with more experience. The first patient completed 2-stage prosthetic reconstruction and was highly satisfied with the unnoticeable scar and symmetric reconstruction. We describe several cases of immediate robot-assisted prosthetic breast reconstruction. This procedure is a feasible surgical option for patients who want to conceal surgical scars.

Keywords

References

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  3. Endoscopic-assisted Nipple-sparing Mastectomy with Direct-to-Implant Subpectoral Breast Reconstruction in the Management of Breast Cancer vol.9, pp.12, 2019, https://doi.org/10.1097/gox.0000000000003978
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  5. Robotic Versus Conventional Nipple-Sparing Mastectomy With Immediate Breast Reconstruction vol.11, 2021, https://doi.org/10.3389/fonc.2021.637049
  6. Single-port robot-assisted prosthetic breast reconstruction with the da Vinci SP Surgical System: first clinical report vol.48, pp.2, 2019, https://doi.org/10.5999/aps.2020.01557
  7. Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction vol.48, pp.6, 2019, https://doi.org/10.5999/aps.2021.00710