Nerve‐sparing Axillary Dissection Using the da Vinci Surgical System
This is an initial report of a new method of axillary dissection via a periareolar incision and an 8 mm incision in the axilla with the da Vinci Surgical System. The 10× magnification and three‐dimensional image, together with the versatility and precision of the robotic telemanipulators, has enable...
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| Veröffentlicht in: | World journal of surgery 2005-10, Vol.29 (10), p.1352-1355 |
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| creator | Lim, Susan M.L. Kum, Cheng K. Lam, Foong L. |
| description | This is an initial report of a new method of axillary dissection via a periareolar incision and an 8 mm incision in the axilla with the da Vinci Surgical System. The 10× magnification and three‐dimensional image, together with the versatility and precision of the robotic telemanipulators, has enabled us to perform nerve‐sparing axillary dissection in four patients with invasive ductal carcinoma of the breast undergoing segmental (conservative) excision and level II axillary dissection. The time for the robotic axillary dissection ranged from 30 to 105 minutes (average 70.5 minutes). The average number of lymph nodes retrieved was 13 (11, 11, 13, and 17, respectively). Postoperatively all four patients recovered well and were discharged the next day. The robotic system can enhance the surgeon’s ability by providing a high‐definition, magnified, three‐dimensional view of the operative field, intuitively controlled articulating instruments, and elimination of tremors; and it has potential benefits for the patient. |
| doi_str_mv | 10.1007/s00268-005-7902-1 |
| format | Article |
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The 10× magnification and three‐dimensional image, together with the versatility and precision of the robotic telemanipulators, has enabled us to perform nerve‐sparing axillary dissection in four patients with invasive ductal carcinoma of the breast undergoing segmental (conservative) excision and level II axillary dissection. The time for the robotic axillary dissection ranged from 30 to 105 minutes (average 70.5 minutes). The average number of lymph nodes retrieved was 13 (11, 11, 13, and 17, respectively). Postoperatively all four patients recovered well and were discharged the next day. 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The 10× magnification and three‐dimensional image, together with the versatility and precision of the robotic telemanipulators, has enabled us to perform nerve‐sparing axillary dissection in four patients with invasive ductal carcinoma of the breast undergoing segmental (conservative) excision and level II axillary dissection. The time for the robotic axillary dissection ranged from 30 to 105 minutes (average 70.5 minutes). The average number of lymph nodes retrieved was 13 (11, 11, 13, and 17, respectively). Postoperatively all four patients recovered well and were discharged the next day. The robotic system can enhance the surgeon’s ability by providing a high‐definition, magnified, three‐dimensional view of the operative field, intuitively controlled articulating instruments, and elimination of tremors; and it has potential benefits for the patient.</description><subject>Axilla - innervation</subject><subject>Axilla - surgery</subject><subject>Axillary Dissection</subject><subject>Axillary Lymph Node Dissection</subject><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - surgery</subject><subject>Carcinoma, Ductal, Breast - surgery</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Invasive Ductal Carcinoma</subject><subject>Lymph Node Excision - instrumentation</subject><subject>Lymph Node Excision - methods</subject><subject>Lymphedema</subject><subject>Mastectomy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Robotics</subject><subject>Sentinel Lymph Node Biopsy</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkM1uEzEURi1ERdPCA7BBIyS6G7j32mOPl6UQflTBIhSWlmN7iqvJTGpngOz6CDwjT4KjRKrEhpUt-dzvuz6MPUV4iQDqVQYg2dYATa00UI0P2AwFp5o48YdsBlyKckd-zE5yvgFAJUE-YscoUZAgPWPzTyH9CH_ufue1TXG4rs5_xb63aVu9iTkHt4njUF3l3cvme6i8rb7GwcVqMaXr6GxfLbZ5E1aP2VFn-xyeHM5TdjV_--XifX35-d2Hi_PL2gmhqdatbsELqwUH74VslPfN0mED7VI1TkAniKy1qEguVfBecUAkjR2hAyX5KTvb567TeDuFvDGrmF0oGw9hnLKRrSoNjS7g83_Am3FKQ9nNEGrdyFJUINxDLo05p9CZdYqr8nmDYHaGzd6wKYbNzrDBMvPsEDwtV8HfTxyUFuDFAbC5COqSLb7yPaeoBMtdud5zP2Mftv9vNt8-Ll7PgZQg_hewSpK5</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Lim, Susan M.L.</creator><creator>Kum, Cheng K.</creator><creator>Lam, Foong L.</creator><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200510</creationdate><title>Nerve‐sparing Axillary Dissection Using the da Vinci Surgical System</title><author>Lim, Susan M.L. ; Kum, Cheng K. ; Lam, Foong L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4492-98980d4a9430dd4657dd5bc1508b75c40f422aaa1726b7edd73011291f21c0763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Axilla - innervation</topic><topic>Axilla - surgery</topic><topic>Axillary Dissection</topic><topic>Axillary Lymph Node Dissection</topic><topic>Biological and medical sciences</topic><topic>Breast Neoplasms - surgery</topic><topic>Carcinoma, Ductal, Breast - surgery</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Invasive Ductal Carcinoma</topic><topic>Lymph Node Excision - instrumentation</topic><topic>Lymph Node Excision - methods</topic><topic>Lymphedema</topic><topic>Mastectomy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Robotics</topic><topic>Sentinel Lymph Node Biopsy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, Susan M.L.</creatorcontrib><creatorcontrib>Kum, Cheng K.</creatorcontrib><creatorcontrib>Lam, Foong L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Susan M.L.</au><au>Kum, Cheng K.</au><au>Lam, Foong L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nerve‐sparing Axillary Dissection Using the da Vinci Surgical System</atitle><jtitle>World journal of surgery</jtitle><addtitle>World J Surg</addtitle><date>2005-10</date><risdate>2005</risdate><volume>29</volume><issue>10</issue><spage>1352</spage><epage>1355</epage><pages>1352-1355</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>This is an initial report of a new method of axillary dissection via a periareolar incision and an 8 mm incision in the axilla with the da Vinci Surgical System. The 10× magnification and three‐dimensional image, together with the versatility and precision of the robotic telemanipulators, has enabled us to perform nerve‐sparing axillary dissection in four patients with invasive ductal carcinoma of the breast undergoing segmental (conservative) excision and level II axillary dissection. The time for the robotic axillary dissection ranged from 30 to 105 minutes (average 70.5 minutes). The average number of lymph nodes retrieved was 13 (11, 11, 13, and 17, respectively). Postoperatively all four patients recovered well and were discharged the next day. 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| subjects | Axilla - innervation Axilla - surgery Axillary Dissection Axillary Lymph Node Dissection Biological and medical sciences Breast Neoplasms - surgery Carcinoma, Ductal, Breast - surgery Female General aspects Humans Invasive Ductal Carcinoma Lymph Node Excision - instrumentation Lymph Node Excision - methods Lymphedema Mastectomy Medical sciences Middle Aged Robotics Sentinel Lymph Node Biopsy |
| title | Nerve‐sparing Axillary Dissection Using the da Vinci Surgical System |
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