Technical key points and vital improvements of single-port robotic prepectoral breast reconstruction
10.3760/cma.j.cn115396-20250427-00115
- VernacularTitle:单孔机器人乳房胸肌前重建手术的技术要点与重要改进
- Author:
Jun LIU
1
;
Zihan WANG
;
Guangqian SHEN
;
Mengxin LI
;
Hongchuan JIANG
Author Information
1. 首都医科大学附属北京朝阳医院乳腺外科，北京 100020
- Keywords:
Breast neoplasms;
Robotic surgical procedures;
Mammaplasty;
Fascia
- From:
International Journal of Surgery
2025;52(6):370-375
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the technical key points and vital improvements of single-port robotic prepectoral breast reconstruction.Methods:A retrospective analysis was conducted on the case data of 10 patients with breast cancer who underwent single-port robotic prepectoral breast reconstruction performed in the Department of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University from January to March 2025. Technical key points and vital improvements were summarized.Results:All 10 patients underwent surgery using the da Vinci Xi system. During the postoperative follow-up period of (3±1) months, no cases of flap or nipple-areola complex necrosis occurred, with no instances of implant loss. The patients experienced neither severe perioperative nor late postoperative complications, and all were satisfied with the aesthetic outcomes. In single-port robotic prepectoral breast reconstruction, several technical modifications were implemented, including posterior space liposuction, electrocautery-assisted flap dissection, and single-port Trocar connection to robotic arms. These refinements enabled clear intraoperative visualization of the circummammary ligaments, allowing for breast reconstruction to be completed within the fascial anatomical planes.Conclusion:The single-port robotic prepectoral breast reconstruction, achieved through technical refinements including posterior space liposuction, electrocautery-assisted flap dissection, and single-port Trocar connection to robotic arms, demonstrates excellent procedural feasibility and is expected to enable precise glandular resection while achieving favorable breast contour outcomes.
