Robot-assisted nipple-sparing mastectomy and immediate breast reconstruction with gel implant and latissimus dorsi muscle flap: Our initial experience

被引：10

作者：

Chen, Kuo ^{[1
]}

Zhang, Jin ^{[2
]}

Beeraka, Narasimha M. M. ^{[3
,4
]}

Song, Dajiang ^{[5
]}

Sinelnikov, Mikhail Y. Y. ^{[4
,6
,7
]}

Lu, Pengwei ^{[1
,8
]}

机构：

[1] Zhengzhou Univ, Affiliated Hosp 1, Dept Breast Surg, Zhengzhou, Peoples R China

[2] Univ Mississippi, Med Ctr, Dept Pharmacol & Toxicol, Jackson, MS USA

[3] Raghavendra Inst Pharmaceut Educ & Res RIPER, Anantapur, India

[4] IM Sechenov First Moscow State Med Univ, Dept Human Anat, Moscow, Russia

[5] Cent South Univ, Hunan Prov Canc Hosp, Affiliated Canc Hosp,Xiangya Sch Med, Dept Oncol Plast Surg, Changsha, Hunan, Peoples R China

[6] Sinelab Biomed Res Ctr, New York City, MN USA

[7] Russian Sci Ctr Surg, Res Inst Human Morphol, Moscow, Russia

[8] Zhengzhou Univ, Affiliated Hosp 1, Dept Breast Surg, 1 Jianshedong Str, Zhengzhou 450052, Peoples R China

来源：

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2023年 / 19卷 / 05期

基金：

中国国家自然科学基金;

关键词：

breast cancer; breast reconstruction; gel implant; latissimus dorsi muscle flap; robot; NECK DISSECTION; HARVEST; THYROIDECTOMY; FEASIBILITY; CANCER; TRANSAXILLARY; OUTCOMES; SURGERY;

D O I：

10.1002/rcs.2528

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundThis study reports the preliminary results of da Vinci robot XI robot-assisted nipple-sparing mastectomy immediate breast reconstruction (R-NSMIBR) with gel implant and latissimus dorsi muscle flap. MethodsA total of 15 patients who underwent R-NSMIBR with gel implant and latissimus dorsi muscle flap surgery for breast cancer between September 2022 and November 2022 were evaluated. ResultsMean total operative time for R-NSMIBR was 361.9 +/- 77.0 min. As the learning curve increased, the robot arm docking time decreased rapidly from the initial 25-10 min. Average total blood loss was 27.8 +/- 10.7 mL and posterior surgical margin positivity rate was 0%. Perioperative complications and local recurrences or deaths were not observed at a mean follow-up of 3 +/- 1 month 15 patients were satisfied with postoperative aesthetic results. ConclusionsR-NSMIBR with a gel implant and latissimus dorsi muscle flap could be a new therapeutic option for breast reconstruction.

引用

页数：10

共 60 条

[1] Robot-assisted transaxillary thyroidectomy: Surgical technique [J].

Abramovici, Laurent ;

Cartier, Cesar ;

Pierre, Guillemette ;

Garrel, Renaud .

EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES, 2015, 132 (03) :153-156

[2] Initial Experience with da Vinci Single-port Robot-assisted Radical Prostatectomies [J].

Agarwal, Deepak K. ;

Sharma, Vidit ;

Toussi, Amir ;

Viers, Boyd R. ;

Tollefson, Matthew K. ;

Gettman, Matthew T. ;

Frank, Igor .

EUROPEAN UROLOGY, 2020, 77 (03) :373-379

[3] Robotic surgery in gynecology [J].

Alkatout, Ibrahim ;

Mettler, Liselotte ;

Maass, Nicolai ;

Ackermann, Johannes .

JOURNAL OF THE TURKISH-GERMAN GYNECOLOGICAL ASSOCIATION, 2016, 17 (04) :224-232

[4] Current Status and Future Directions of Robotic Single-Site Surgery: A Systematic Review [J].

Autorino, Riccardo ;

Kaouk, Jihad H. ;

Stolzenburg, Jens-Uwe ;

Gill, Inderbir S. ;

Mottrie, Alex ;

Tewari, Ash ;

Cadeddu, Jeffrey A. .

EUROPEAN UROLOGY, 2013, 63 (02) :266-280

[5] A Prospective Comparison of Short-Term Outcomes of Subpectoral and Prepectoral Strattice-Based Immediate Breast Reconstruction [J].

Baker, Benjamin G. ;

Irri, Renu ;

Chattopadhyay, Vivienne MacCallum Rahul ;

Murphy, John ;

Harvey, James R. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2018, 141 (05) :1077-1084

[6] Robot-Assisted Sistrunk's Operation, Total Thyroidectomy, and Neck Dissection via a Transaxillary and Retroauricular (TARA) Approach in Papillary Carcinoma Arising in Thyroglossal Duct Cyst and Thyroid Gland [J].

Byeon, Hyung Kwon ;

Ban, Myung Jin ;

Lee, Jeon Mi ;

Ha, Jong Gyun ;

Kim, Eun Sung ;

Koh, Yoon Woo ;

Choi, Eun Chang .

ANNALS OF SURGICAL ONCOLOGY, 2012, 19 (13) :4259-4261

[7] Robot-Assisted Minimally Invasive Breast Surgery: Recent Evidence with Comparative Clinical Outcomes [J].

Chen, Kuo ;

Zhang, Jin ;

Beeraka, Narasimha M. ;

Sinelnikov, Mikhail Y. ;

Zhang, Xinliang ;

Cao, Yu ;

Lu, Pengwei .

JOURNAL OF CLINICAL MEDICINE, 2022, 11 (07)

[8] Mitochondrial mutations and mitoepigenetics: Focus on regulation of oxidative stress-induced responses in breast cancers [J].

Chen, Kuo ;

Lu, Pengwei ;

Beeraka, Narasimha M. ;

Sukocheva, Olga A. ;

Madhunapantula, SubbaRao, V ;

Liu, Junqi ;

Sinelnikov, Mikhail Y. ;

Nikolenko, Vladimir N. ;

Bulygin, Kirill, V ;

Mikhaleva, Liudmila M. ;

Reshetov, Igor, V ;

Gu, Yuanting ;

Zhang, Jin ;

Cao, Yu ;

Somasundaram, Siva G. ;

Kirkland, Cecil E. ;

Fan, Ruitai ;

Aliev, Gjumrakch .

SEMINARS IN CANCER BIOLOGY, 2022, 83 :556-569

[9] The Use of Fibrin-based Tissue Adhesives for Breast in Reconstructive and Plastic Surgery [J].

Chen, Kuo ;

Sinelnikov, Mikhail Y. ;

Nikolenko, Vladimir N. ;

Reshetov, Igor, V ;

Cao, Yu ;

Li, Zhi ;

Kochurova, Ekaterina, V ;

Nikolenko, Svetlana N. ;

Avila-Rodriguez, Marco ;

Somasundaram, Siva G. ;

Kirkland, Cecil E. ;

Aliev, Gjumrakch .

CURRENT TOPICS IN MEDICINAL CHEMISTRY, 2019, 19 (32) :2985-2990

[10] Ten-year experience of robotic latissimus muscle flap reconstructive surgery at a single institution [J].

Cheon, Jeong Hyun ;

Kim, Han Eul ;

Ha Park, Seung ;

Yoon, Eul Sik .

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2022, 75 (10) :3664-3672

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