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
Hauptverfasser: Chen, Kuo, Zhang, Jin, Beeraka, Narasimha M., Song, Dajiang, Sinelnikov, Mikhail Y., Lu, Pengwei
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container_issue 5
container_start_page e2528
container_title The international journal of medical robotics + computer assisted surgery
container_volume 19
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
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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 &amp; 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. 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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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