Early experiences with robot-assisted prosthetic breast reconstruction
Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipplesparing mastectomy with immediate reconstruction is currently performed to avoid breast scars. Four patients with invasiv...
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Published in | Archives of plastic surgery Vol. 46; no. 1; pp. 79 - 83 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
Thieme Medical Publishers, Inc
01.01.2019
Korean Society of Plastic and Reconstructive Surgeons 대한성형외과학회 |
Subjects | |
Online Access | Get full text |
ISSN | 2234-6163 2234-6171 2234-6171 |
DOI | 10.5999/aps.2018.00052 |
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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 nipplesparing 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. |
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AbstractList | Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipplesparing 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. 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. Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipplesparing 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.Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipplesparing 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. Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipplesparing 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. KCI Citation Count: 4 |
Author | Lee, Dong Won Park, Se Ho Lew, Dae Hyun Ahn, Sung Jae Song, Seung Yong Park, Hyung Seok Roh, Tai Suk |
Author_xml | – sequence: 1 givenname: Sung Jae orcidid: 0000-0002-0324-0451 surname: Ahn fullname: Ahn, Sung Jae organization: Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 2 givenname: Seung Yong orcidid: 0000-0002-3145-7463 surname: Song fullname: Song, Seung Yong organization: Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 3 givenname: Hyung Seok orcidid: 0000-0001-5322-6036 surname: Park fullname: Park, Hyung Seok organization: Department of Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 4 givenname: Se Ho orcidid: 0000-0001-8089-2755 surname: Park fullname: Park, Se Ho organization: Department of Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 5 givenname: Dae Hyun orcidid: 0000-0002-2625-5664 surname: Lew fullname: Lew, Dae Hyun organization: Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 6 givenname: Tai Suk orcidid: 0000-0001-8681-159X surname: Roh fullname: Roh, Tai Suk organization: Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 7 givenname: Dong Won orcidid: 0000-0003-0046-3139 surname: Lee fullname: Lee, Dong Won organization: Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine |
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Copyright | The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/) Copyright © 2019 The Korean Society of Plastic and Reconstructive Surgeons 2019 |
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References_xml | – volume: 4 start-page: 388 year: 2015 ident: ref9 article-title: Transaxillary single-incision robotic neck dissection for metastatic thyroid cancer publication-title: Gland Surg – start-page: 22 volume-title: The first case report of robot-assisted nipple sparing mastectomy and immediate reconstruction in Korea year: 2017 ident: ref8 – volume: 68 start-page: 966 year: 2015 ident: ref13 article-title: A novel technique for robot assisted latissimus dorsi flap harvest publication-title: J Plast Reconstr Aesthet Surg doi: 10.1016/j.bjps.2015.03.021 – volume: 16 start-page: 1480 year: 2009 ident: ref15 article-title: Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study publication-title: Ann Surg Oncol doi: 10.1245/s10434-009-0435-3 – volume: 112 start-page: 702 year: 2015 ident: ref5 article-title: Transoral robotic surgery (TORS) for laryngeal and hypopharyngeal cancers publication-title: J Surg Oncol doi: 10.1002/jso.24002 – volume: 114 start-page: 97 year: 2009 ident: ref2 article-title: Nipple-sparing mastectomy: risk of nipple-areolar recurrences in a series of 579 cases publication-title: Breast Cancer Res Treat doi: 10.1007/s10549-008-9968-6 – volume: 40 start-page: 353 year: 2013 ident: ref11 article-title: Robot-assisted free flap in head and neck reconstruction publication-title: Arch Plast Surg doi: 10.5999/aps.2013.40.4.353 – volume: 84 start-page: 1154 year: 1997 ident: ref14 article-title: Massive subcutaneous emphysema and severe hypercarbia in a patient during endoscopic transcervical parathyroidectomy using carbon dioxide insufflation publication-title: Anesth Analg doi: 10.1213/00000539-199705000-00040 – volume: 125 start-page: 607 year: 2011 ident: ref4 article-title: Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery? publication-title: Breast Cancer Res Treat doi: 10.1007/s10549-010-1258-4 – volume: 16 start-page: 3406 year: 2009 ident: ref3 article-title: Early results of an endoscopic nipple-sparing mastectomy for breast cancer publication-title: Ann Surg Oncol doi: 10.1245/s10434-009-0661-8 – volume: 266 start-page: e28 year: 2017 ident: ref7 article-title: Robotic nipple-sparing mastectomy and immediate breast reconstruction with implant: first report of surgical technique publication-title: Ann Surg doi: 10.1097/SLA.0000000000001397 – volume: 129 start-page: 1305 year: 2012 ident: ref12 article-title: Robotic latissimus dorsi muscle harvest: a case series publication-title: Plast Reconstr Surg doi: 10.1097/PRS.0b013e31824ecc0b – volume: 31 start-page: 51 year: 2017 ident: ref6 article-title: Robotic nipple-sparing mastectomy for the treatment of breast cancer: feasibility and safety study publication-title: Breast doi: 10.1016/j.breast.2016.10.009 – volume: 23 start-page: 2399 year: 2009 ident: ref10 article-title: Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients publication-title: Surg Endosc doi: 10.1007/s00464-009-0366-x – volume: 249 start-page: 461 year: 2009 ident: ref1 article-title: The oncological safety of skin sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction: an extended follow-up study publication-title: Ann Surg doi: 10.1097/SLA.0b013e31819a044f |
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SubjectTerms | breast implants Case Report mammaplasty robotic surgical procedures tissue expansion devices 성형외과학 |
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Title | Early experiences with robot-assisted prosthetic breast reconstruction |
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ispartofPNX | Archives of Plastic Surgery, 2019, 46(1), , pp.79-83 |
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