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Semin Plast Surg 2023; 37(03): 168-175
DOI: 10.1055/s-0043-1771235
Review Article

Robotics in Implant-Based and Autologous Breast Reconstruction

Brody W. King
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Jacob H. McCarter
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Heather R. Burns
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Shirin Soleimani
3   TCU Burnett School of Medicine, Fort Worth, Texas
,
Marco A. Maricevich
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Jessie Z. Yu
4   Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas
› Institutsangaben Funding None.
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Abstract

Autologous and implant-based breast reconstruction continues to evolve as new technology and mastectomy techniques become available. Robotic-assisted breast reconstruction represents a growing field within plastic surgery, with the potential to improve aesthetic and functional outcomes, as well as patient satisfaction. This article provides a review of indications, techniques, and outcome data supporting the use of robotic assistance in both implant-based and autologous breast reconstruction from surgeons around the world.

Keywords

robotic surgery - robotic breast reconstruction - robotic latissimus dorsi flap - robotic DIEP


Publikationsverlauf

Artikel online veröffentlicht:
03. August 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Freeman MD, Gopman JM, Salzberg CA. The evolution of mastectomy surgical technique: from mutilation to medicine. Gland Surg 2018; 7 (03) 308-315
    CrossrefPubMedGoogle Scholar
  • 2 Egan KG, Selber JC. Modern innovations in breast surgery: robotic breast surgery and robotic breast reconstruction. Clin Plast Surg 2023; 50 (02) 357-366
    CrossrefPubMedGoogle Scholar
  • 3 Boyd B, Umansky J, Samson M, Boyd D, Stahl K. Robotic harvest of internal mammary vessels in breast reconstruction. J Reconstr Microsurg 2006; 22 (04) 261-266
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 4 Toesca A, Peradze N, Galimberti V. et al. Robotic nipple-sparing mastectomy and immediate breast reconstruction with implant: first report of surgical technique. Ann Surg 2017; 266 (02) e28-e30
    CrossrefPubMedGoogle Scholar
  • 5 Chen K, Zhang J, Beeraka NM. et al. Robot-assisted minimally invasive breast surgery: recent evidence with comparative clinical outcomes. J Clin Med 2022; 11 (07) 1827
    CrossrefPubMedGoogle Scholar
  • 6 Houvenaeghel G, Bannier M, Rua S. et al. Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision. World J Surg Oncol 2019; 17 (01) 176
    CrossrefPubMedGoogle Scholar
  • 7 Jeon DN, Kim J, Ko BS. et al. Robot-assisted breast reconstruction using the prepectoral anterior tenting method. J Plast Reconstr Aesthet Surg 2021; 74 (11) 2906-2915
    CrossrefPubMedGoogle Scholar
  • 8 Houvenaeghel G, Barrou J, Jauffret C. et al. Robotic versus conventional nipple-sparing mastectomy with immediate breast reconstruction. Front Oncol 2021; 11: 637049
    CrossrefPubMedGoogle Scholar
  • 9 Gundlapalli VS, Ogunleye AA, Scott K. et al. Robotic-assisted deep inferior epigastric artery perforator flap abdominal harvest for breast reconstruction: a case report. Microsurgery 2018; 38 (06) 702-705
    CrossrefPubMedGoogle Scholar
  • 10 Bishop SN, Selber JC. Minimally invasive robotic breast reconstruction surgery. Gland Surg 2021; 10 (01) 469-478
    CrossrefPubMedGoogle Scholar
  • 11 Chao AH. Safe and efficient implant-based breast reconstruction. Plast Reconstr Surg Glob Open 2020; 8 (09) e3134
    CrossrefPubMedGoogle Scholar
  • 12 Clemens MW, Kronowitz S, Selber JC. Robotic-assisted latissimus dorsi harvest in delayed-immediate breast reconstruction. Semin Plast Surg 2014; 28 (01) 20-25
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 13 Winocour S, Tarassoli S, Chu CK, Liu J, Clemens MW, Selber JC. Comparing outcomes of robotically assisted latissimus dorsi harvest to the traditional open approach in breast reconstruction. Plast Reconstr Surg 2020; 146 (06) 1221-1225
    CrossrefPubMedGoogle Scholar
  • 14 Lai HW, Chen ST, Lin SL. et al. Robotic nipple-sparing mastectomy and immediate breast reconstruction with gel implant: technique, preliminary results and patient-reported cosmetic outcome. Ann Surg Oncol 2019; 26 (01) 42-52
    CrossrefPubMedGoogle Scholar
  • 15 Sarfati B, Struk S, Leymarie N. et al. Robotic prophylactic nipple-sparing mastectomy with immediate prosthetic breast reconstruction: a prospective study. Ann Surg Oncol 2018; 25 (09) 2579-2586
    CrossrefPubMedGoogle Scholar
  • 16 Parcells A, Spiro S. Exploration of robotic direct to implant breast reconstruction. Plast Reconstr Surg Glob Open 2020; 8 (01) e2619
    CrossrefPubMedGoogle Scholar
  • 17 Toesca A, Invento A, Massari G. et al. Update on the feasibility and progress on robotic breast surgery. Ann Surg Oncol 2019; 26 (10) 3046-3051
    CrossrefPubMedGoogle Scholar
  • 18 Lai HW, Chen ST, Tai CM. et al. Robotic- versus endoscopic-assisted nipple-sparing mastectomy with immediate prosthesis breast reconstruction in the management of breast cancer: a case-control comparison study with analysis of clinical outcomes, learning curve, patient-reported aesthetic results, and medical cost. Ann Surg Oncol 2020; 27 (07) 2255-2268
    CrossrefPubMedGoogle Scholar
  • 19 Ahn SJ, Song SY, Park HS. et al. Early experiences with robot-assisted prosthetic breast reconstruction. Arch Plast Surg 2019; 46 (01) 79-83
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 20 Ryu JM, Kim JY, Choi HJ. et al. Robot-assisted Nipple-sparing mastectomy with immediate breast reconstruction: an initial experience of the Korea Robot-endoscopy Minimal Access Breast Surgery Study Group (KoREa-BSG). Ann Surg 2022; 275 (05) 985-991
    CrossrefPubMedGoogle Scholar
  • 21 Moon J, Lee J, Lee DW. et al. Postoperative pain assessment of robotic nipple-sparing mastectomy with immediate prepectoral prosthesis breast reconstruction: a comparison with conventional nipple-sparing mastectomy. Int J Med Sci 2021; 18 (11) 2409-2416
    CrossrefPubMedGoogle Scholar
  • 22 Lai HW, Toesca A, Sarfati B. et al. Consensus statement on robotic mastectomy-expert panel from International Endoscopic and Robotic Breast Surgery Symposium (IERBS) 2019. Ann Surg 2020; 271 (06) 1005-1012
    CrossrefPubMedGoogle Scholar
  • 23 Joo OY, Song SY, Park HS, Roh TS. Single-port robot-assisted prosthetic breast reconstruction with the da Vinci SP Surgical System: first clinical report. Arch Plast Surg 2021; 48 (02) 194-198
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 24 Dauplat J, Kwiatkowski F, Rouanet P. et al; STIC-RMI working group. Quality of life after mastectomy with or without immediate breast reconstruction. Br J Surg 2017; 104 (09) 1197-1206
    CrossrefPubMedGoogle Scholar
  • 25 Lai HW, Lin SL, Chen ST. et al. Robotic nipple sparing mastectomy and immediate breast reconstruction with robotic latissimus dorsi flap harvest: technique and preliminary results. J Plast Reconstr Aesthet Surg 2018; 71 (10) e59-e61
    CrossrefPubMedGoogle Scholar
  • 26 Selber JC. Robotic latissimus dorsi muscle harvest. Plast Reconstr Surg 2011; 128 (02) 88e-90e
    CrossrefPubMedGoogle Scholar
  • 27 Selber JC, Baumann DP, Holsinger FC. Robotic latissimus dorsi muscle harvest: a case series. Plast Reconstr Surg 2012; 129 (06) 1305-1312
    CrossrefPubMedGoogle Scholar
  • 28 Park HS, Lee J, Lee DW. et al. Robot-assisted nipple-sparing mastectomy with immediate breast reconstruction: an initial experience. Sci Rep 2019; 9 (01) 15669
    CrossrefPubMedGoogle Scholar
  • 29 Chung JH, You HJ, Kim HS, Lee BI, Park SH, Yoon ES. A novel technique for robot assisted latissimus dorsi flap harvest. J Plast Reconstr Aesthet Surg 2015; 68 (07) 966-972
    CrossrefPubMedGoogle Scholar
  • 30 Daskalakis M, Scheffel O, Weiner RA. High flow insufflation for the maintenance of the pneumoperitoneum during bariatric surgery. Obes Facts 2009; 2 (Suppl 1): 37-40
    CrossrefPubMedGoogle Scholar
  • 31 Hindle AK, Brody F, Hopkins V, Rosales G, Gonzalez F, Schwartz A. Thermal injury secondary to laparoscopic fiber-optic cables. Surg Endosc 2009; 23 (08) 1720-1723
    CrossrefPubMedGoogle Scholar
  • 32 Lai HW, Chen ST, Lin SL. et al. Technique for single axillary incision robotic assisted quadrantectomy and immediate partial breast reconstruction with robotic latissimus dorsi flap harvest for breast cancer: a case report. Medicine (Baltimore) 2018; 97 (27) e11373
    CrossrefPubMedGoogle Scholar
  • 33 Houvenaeghel G, El Hajj H, Schmitt A. et al. Robotic-assisted skin sparing mastectomy and immediate reconstruction using latissimus dorsi flap a new effective and safe technique: a comparative study. Surg Oncol 2020; 35: 406-411
    CrossrefPubMedGoogle Scholar
  • 34 Fouarge A, Cuylits N. From open to robotic-assisted latissimus dorsi muscle flap harvest. Plast Reconstr Surg Glob Open 2020; 8 (01) e2569
    CrossrefPubMedGoogle Scholar
  • 35 Houvenaeghel G, Cohen M, Ribeiro SR. et al. Robotic nipple-sparing mastectomy and immediate breast reconstruction with robotic latissimus dorsi flap harvest: technique and results. Surg Innov 2020; 27 (05) 481-491
    CrossrefPubMedGoogle Scholar
  • 36 Toesca A, Peradze N, Manconi A. et al. Robotic nipple-sparing mastectomy for the treatment of breast cancer: feasibility and safety study. Breast 2017; 31: 51-56
    CrossrefPubMedGoogle Scholar
  • 37 Mittal AK, Dubey M, Arora M, Bhagat S, Bhargava AK. Anaesthetic consideration for robotic nipple sparing mastectomy. Indian J Anaesth 2017; 61 (06) 519-521
    CrossrefPubMedGoogle Scholar
  • 38 Healy C, Allen Sr RJ. The evolution of perforator flap breast reconstruction: twenty years after the first DIEP flap. J Reconstr Microsurg 2014; 30 (02) 121-125
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 39 Hilven PH, Vandevoort M, Bruyninckx F. et al. Limiting the fascia incision length in a DIEP flap: repercussion on abdominal wall morbidity. J Plast Reconstr Aesthet Surg 2022; 75 (03) 1108-1116
    CrossrefPubMedGoogle Scholar
  • 40 Chang EI, Chang EI, Soto-Miranda MA. et al. Comprehensive analysis of donor-site morbidity in abdominally based free flap breast reconstruction. Plast Reconstr Surg 2013; 132 (06) 1383-1391
    CrossrefPubMedGoogle Scholar
  • 41 Shakir S, Spencer AB, Kozak GM, Nathan SL, Soriano IS, Kanchwala SK. Laparoscopically assisted DIEP flap harvest minimizes fascial incision in autologous breast reconstruction. Plast Reconstr Surg 2020; 146 (03) 265e-275e
    CrossrefPubMedGoogle Scholar
  • 42 Vyas RM, Dickinson BP, Fastekjian JH, Watson JP, DaLio AL, Crisera CA. Risk factors for abdominal donor-site morbidity in free flap breast reconstruction. Plast Reconstr Surg 2008; 121 (05) 1519-1526
    CrossrefPubMedGoogle Scholar
  • 43 Manrique OJ, Bustos SS, Mohan AT. et al. Robotic-assisted DIEP flap harvest for autologous breast reconstruction: a comparative feasibility study on a cadaveric model. J Reconstr Microsurg 2020; 36 (05) 362-368
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 44 Dayaratna N, Ahmadi N, Mak C, Dusseldorp JR. Robotic-assisted deep inferior epigastric perforator (DIEP) flap harvest for breast reconstruction. ANZ J Surg 2023; 93 (04) 1072-1074
    CrossrefPubMedGoogle Scholar
  • 45 Wittesaele W, Vandevoort M. Implementing the robotic deep inferior epigastric perforator Flap in daily practice: a series of 10 cases. J Plast Reconstr Aesthet Surg 2022; 75 (08) 2577-2583
    CrossrefPubMedGoogle Scholar
  • 46 Lee MJ, Won J, Song SY. et al. Clinical outcomes following robotic versus conventional DIEP flap in breast reconstruction: a retrospective matched study. Front Oncol 2022; 12: 989231
    CrossrefPubMedGoogle Scholar
  • 47 Choi JH, Song SY, Park HS. et al. Robotic DIEP flap harvest through a totally extraperitoneal approach using a single-port surgical robotic system. Plast Reconstr Surg 2021; 148 (02) 304-307
    CrossrefPubMedGoogle Scholar
  • 48 Struk S, Sarfati B, Leymarie N. et al. Robotic-assisted DIEP flap harvest: a feasibility study on cadaveric model. J Plast Reconstr Aesthet Surg 2018; 71 (02) 259-261
    CrossrefPubMedGoogle Scholar
  • 49 Tsai CY, Kim BS, Kuo WL. et al. Novel port placement in robotic-assisted DIEP flap harvest improves visibility and bilateral DIEP access: early controlled cohort study Ma. Plast Reconstr Surg 2023; (e-pub ahead of print). DOI: 10.1097/PRS.0000000000010470.
    CrossrefPubMedGoogle Scholar
  • 50 Jung JH, Jeon YR, Lee DW. et al. Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP. Arch Plast Surg 2022; 49 (01) 34-38
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 51 Selber JC. The robotic DIEP flap. Plast Reconstr Surg 2020; 145 (02) 340-343
    CrossrefPubMedGoogle Scholar
  • 52 Kurlander DE, Le-Petross HT, Shuck JW, Butler CE, Selber JC. Robotic DIEP patient selection: analysis of CT angiography. Plast Reconstr Surg Glob Open 2021; 9 (12) e3970
    CrossrefPubMedGoogle Scholar
  • 53 Daar DA, Anzai LM, Vranis NM. et al. Robotic deep inferior epigastric perforator flap harvest in breast reconstruction. Microsurgery 2022; 42 (04) 319-325
    CrossrefPubMedGoogle Scholar
  • 54 Pedersen J, Song DH, Selber JC. Robotic, intraperitoneal harvest of the rectus abdominis muscle. Plast Reconstr Surg 2014; 134 (05) 1057-1063
    CrossrefPubMedGoogle Scholar
  • 55 Kim J, Lee KT, Mun GH. Deep inferior epigastric perforator flap harvest for breast reconstruction. Plast Reconstr Surg 2023; (e-pub ahead of print). DOI: 10.1097/PRS.0000000000010382.
    CrossrefPubMedGoogle Scholar
  • 56 Khan MTA, Won BW, Baumgardner K. et al. Literature review: robotic-assisted harvest of deep inferior epigastric flap for breast reconstruction. Ann Plast Surg 2022; 89 (06) 703-708
    CrossrefPubMedGoogle Scholar
  • 57 Donnely E, Griffin MF, Butler PE. Robotic surgery: a novel approach for breast surgery and reconstruction. Plast Reconstr Surg Glob Open 2020; 8 (01) e2578
    CrossrefPubMedGoogle Scholar