Robot‐assisted nipple‐sparing mastectomy and immediate breast reconstruction with gel implant and latissimus dorsi muscle flap: Our initial experience
Background This 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. Methods A total of 15 patients who underwent R‐NSMIBR with gel implant and latissimus dors...
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Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2023-10, Vol.19 (5), p.e2528-n/a |
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container_title | The international journal of medical robotics + computer assisted surgery |
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creator | Chen, Kuo Zhang, Jin Beeraka, Narasimha M. Song, Dajiang Sinelnikov, Mikhail Y. Lu, Pengwei |
description | Background
This 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.
Methods
A 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.
Results
Mean 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.
Conclusions
R‐NSMIBR with a gel implant and latissimus dorsi muscle flap could be a new therapeutic option for breast reconstruction. |
doi_str_mv | 10.1002/rcs.2528 |
format | Article |
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This 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.
Methods
A 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.
Results
Mean 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.
Conclusions
R‐NSMIBR with a gel implant and latissimus dorsi muscle flap could be a new therapeutic option for breast reconstruction.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.2528</identifier><identifier>PMID: 37194617</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Breast cancer ; Breast implants ; breast reconstruction ; Breast surgery ; gel implant ; latissimus dorsi muscle flap ; Learning curves ; Mastectomy ; Muscles ; robot ; Robot arms ; Robotic surgery</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2023-10, Vol.19 (5), p.e2528-n/a</ispartof><rights>2023 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3108-932537579f1b403ce9073843f73baee714aef46ba8ab4545080b6a9f3130b67e3</cites><orcidid>0000-0002-2566-7501 ; 0000-0002-4578-8888 ; 0000-0003-0095-8545 ; 0000-0002-0862-6011 ; 0000-0002-3541-2131</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.2528$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.2528$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37194617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Kuo</creatorcontrib><creatorcontrib>Zhang, Jin</creatorcontrib><creatorcontrib>Beeraka, Narasimha M.</creatorcontrib><creatorcontrib>Song, Dajiang</creatorcontrib><creatorcontrib>Sinelnikov, Mikhail Y.</creatorcontrib><creatorcontrib>Lu, Pengwei</creatorcontrib><title>Robot‐assisted nipple‐sparing mastectomy and immediate breast reconstruction with gel implant and latissimus dorsi muscle flap: Our initial experience</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int J Med Robot</addtitle><description>Background
This 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.
Methods
A 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.
Results
Mean 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.
Conclusions
R‐NSMIBR with a gel implant and latissimus dorsi muscle flap could be a new therapeutic option for breast reconstruction.</description><subject>Breast cancer</subject><subject>Breast implants</subject><subject>breast reconstruction</subject><subject>Breast surgery</subject><subject>gel implant</subject><subject>latissimus dorsi muscle flap</subject><subject>Learning curves</subject><subject>Mastectomy</subject><subject>Muscles</subject><subject>robot</subject><subject>Robot arms</subject><subject>Robotic surgery</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kc9qFTEUxkNRbK1Cn0ACbrqZmkwyk4w7ubQqFApVwd2QyT1TUzLJmGRo766P0HUfr0_S0z9WEIRAPk5--c5JPkL2ODvgjNUfks0HdVPrLbLDpdJV07U_Xzzrhm-T1zmfMyYb2cpXZFso3smWqx1ycxqHWG6vrk3OLhdY0-Dm2QNW8mySC2d0Mli3JU4basKaummCtTMF6JAAj2gCG0MuabHFxUAvXPlFz8AjOHsTysMlb4rDBtOS6Tqm7Cgq64GO3swf6cmSqAuuOOMpXM6QHAQLb8jL0fgMb5_2XfLj6PD76kt1fPL56-rTcWUFZ7rqRN0I1ahu5INkwkLHlNBSjEoMBkBxaWCU7WC0GfD9DdNsaE03Ci5QKBC7ZP_Rd07x9wK59JPLFjwOD3HJfa25xNVJjej7f9DzuKSA0yHVslrpjou_hjbFnBOM_ZzcZNKm56y_z6vHvPr7vBB992S4DPitz-CfgBCoHoEL52HzX6P-dPXtwfAOJSWjuw</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Chen, Kuo</creator><creator>Zhang, Jin</creator><creator>Beeraka, Narasimha M.</creator><creator>Song, Dajiang</creator><creator>Sinelnikov, Mikhail Y.</creator><creator>Lu, Pengwei</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2566-7501</orcidid><orcidid>https://orcid.org/0000-0002-4578-8888</orcidid><orcidid>https://orcid.org/0000-0003-0095-8545</orcidid><orcidid>https://orcid.org/0000-0002-0862-6011</orcidid><orcidid>https://orcid.org/0000-0002-3541-2131</orcidid></search><sort><creationdate>202310</creationdate><title>Robot‐assisted nipple‐sparing mastectomy and immediate breast reconstruction with gel implant and latissimus dorsi muscle flap: Our initial experience</title><author>Chen, Kuo ; Zhang, Jin ; Beeraka, Narasimha M. ; Song, Dajiang ; Sinelnikov, Mikhail Y. ; Lu, Pengwei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3108-932537579f1b403ce9073843f73baee714aef46ba8ab4545080b6a9f3130b67e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Breast cancer</topic><topic>Breast implants</topic><topic>breast reconstruction</topic><topic>Breast surgery</topic><topic>gel implant</topic><topic>latissimus dorsi muscle flap</topic><topic>Learning curves</topic><topic>Mastectomy</topic><topic>Muscles</topic><topic>robot</topic><topic>Robot arms</topic><topic>Robotic surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Kuo</creatorcontrib><creatorcontrib>Zhang, Jin</creatorcontrib><creatorcontrib>Beeraka, Narasimha M.</creatorcontrib><creatorcontrib>Song, Dajiang</creatorcontrib><creatorcontrib>Sinelnikov, Mikhail Y.</creatorcontrib><creatorcontrib>Lu, Pengwei</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Kuo</au><au>Zhang, Jin</au><au>Beeraka, Narasimha M.</au><au>Song, Dajiang</au><au>Sinelnikov, Mikhail Y.</au><au>Lu, Pengwei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robot‐assisted nipple‐sparing mastectomy and immediate breast reconstruction with gel implant and latissimus dorsi muscle flap: Our initial experience</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int J Med Robot</addtitle><date>2023-10</date><risdate>2023</risdate><volume>19</volume><issue>5</issue><spage>e2528</spage><epage>n/a</epage><pages>e2528-n/a</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Background
This 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.
Methods
A 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.
Results
Mean 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.
Conclusions
R‐NSMIBR with a gel implant and latissimus dorsi muscle flap could be a new therapeutic option for breast reconstruction.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37194617</pmid><doi>10.1002/rcs.2528</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2566-7501</orcidid><orcidid>https://orcid.org/0000-0002-4578-8888</orcidid><orcidid>https://orcid.org/0000-0003-0095-8545</orcidid><orcidid>https://orcid.org/0000-0002-0862-6011</orcidid><orcidid>https://orcid.org/0000-0002-3541-2131</orcidid></addata></record> |
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subjects | Breast cancer Breast implants breast reconstruction Breast surgery gel implant latissimus dorsi muscle flap Learning curves Mastectomy Muscles robot Robot arms Robotic surgery |
title | Robot‐assisted nipple‐sparing mastectomy and immediate breast reconstruction with gel implant and latissimus dorsi muscle flap: Our initial experience |
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