Efficacy of da Vinci robotic nipple sparing mastectomy and immediate breast reconstruction with gel implant in breast cancer
10.3760/cma.j.issn.1671-0290.2024.05.003
- VernacularTitle:达芬奇机器人在保留乳头乳晕乳腺切除即刻假体乳房再造术中应用的效果探讨
- Author:
Kuo CHEN
1
;
Dajiang SONG
;
Pengwei LYU
Author Information
1. 郑州大学第一附属医院乳腺外科，郑州 450052
- Keywords:
Breast neoplasms;
Robotic surgery;
Breast reconstruction;
Implant;
Cosmetic effect
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(5):425-429
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of da Vinci robotic nipple sparing mastectomy and immediate breast reconstruction with gel implant in breast cancer.Methods:From September 2022 to May 2024, 116 female patients with breast cancer, aged 17-58 (42.1+ 7.2) years, with a body mass index (22.93+ 2.53) kg/m 2, who underwent unilateral da Vinci robotic nipple-areola preserving immediate prosthetic breast reconstruction in the Department of Breast Surgery, the First Afiliated Hospital of Zhengzhou University, and who fulfilled the inclusion criteria. were enrolled in this study. The clinicopathologic characteristics, robotic microscopy time, total operative time, and perioperative complications of the patients were collected and analyzed to determine the effectiveness and usefulness of the procedure. Results:The da Vinci robotic SI system was utilized in 14 patients, while the da Vinci robotic X system was employed in 102 patients. A total of 78 three-port, three-arm operations and 38 single-port. three-arm operations were conducted. The mean robotic operating time and total operating time were (115.95+ 58.10) minutes and (205.14+ 57.72) minutes, respectively. Additionally, the robotic preparation time was reduced from the initial 25 minutes to the current 5 minutes. At the postoperative follow-up time of three months, no nipple-areola complex necrosis was observed, and no serious perioperative complications were identified in 109 patients, with the exception of two cases of implants loss and five cases of heat steam induced skin damage. With the exception of two cases of prosthesis loss and five instances of thermal skin injury, 109 patients exhibited no significant perioperative complications and expressed satisfaction with the postoperative aesthetic outcomes.Conclusions:The da Vinci robotic nipple sparing mastectomy and immediate breast reconstruction with gel implant has the potential to provide superior aesthetic outcomes without significant perioperative complications for the female patients.
