Single-Port Transaxillary Robot-Assisted Latissimus Dorsi Muscle Flap Reconstruction for Poland Syndrome: Concomitant Application of Robotic System to Contralateral Augmentation Mammoplasty

Abstract

Currently, robot-assisted latissimus dorsi muscle flap (RLDF) surgery is used in treating patients with Poland syndrome and for breast reconstruction. However, conventional RLDF surgery has several inherent issues. We resolved the existing problems of the conventional system by introducing the da Vinci single-port system in patients with Poland syndrome. Overall, three patients underwent RLDF surgery using the da Vinci single-port system with gas insufflation. In the female patient, after performing RLDF with silicone implant, augmentation mammoplasty was also performed on the contralateral side. Both surgeries were performed as single-port robotic-assisted surgery through the transaxillary approach. The mean operating time was 449 (335–480) minutes; 8.67 (4–14) minutes were required for docking and 59 (52–67) minutes for robotic dissection and LD harvesting. No patients had perioperative complication and postoperative problems related to gas inflation. The single-port robot-assisted surgical system overcomes the drawbacks of previous robotic surgery in patients with Poland syndrome, significantly shortens the procedure time of robotic surgery, has superior cosmetic outcomes in a surgical scar, and improves the operator's convenience. Furthermore, concurrent application to another surgery demonstrates the possibility in the broad application of the robotic single-port surgical system.

Keywords

Poland syndrome - robotic surgical procedures - surgical flaps - mammoplasty - breast implants

Author Contributions

Conceptualization: E.-S.Y. Data Curation: Y.-J.H., H.-C.L. Formal analysis: S.-H.P., Y.-J.H. Methodology: H.-C.L., Y.-J.H. Writing-original draft: Y.-J.H. Writing-review and editing: E.-S.Y., H.-C.L., S.-H.P.

Ethical Approval

The study was approved by the Institutional Review Board of Korea University Anam Hospital (IRB No. 2021AN0333) and performed in accordance with the principles of the Declaration of Helsinki. Written informed consent was obtained.

Patient Consent

The patients provided written informed consent for the publication and the use of their images.

Prior Presentation

This article was presented at the 11th Research & Reconstruction Forum on May 7–8, 2021.

Publication History

Article published online:
27 May 2022

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