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DOI: 10.5999/aps.2020.01557
Single-port robot-assisted prosthetic breast reconstruction with the da Vinci SP Surgical System: first clinical report
Robot-assisted nipple-sparing mastectomy with immediate reconstruction is currently performed in an attempt to seek smaller and indistinct incisions. Robotic surgery system has been evolving under the concept of minimal invasive technique which is a recent trend in surgery. One of the latest version is the da Vinci SP Surgical System (Intuitive Surgical). In this report, we will share our experiences. Two patients underwent robot-assisted nipple-sparing mastectomy, each followed by immediate robot-assisted expander insertion and prepectoral direct-to-implant breast reconstruction, respectively. There was no open conversion or major postoperative complication. One patient experienced mild infection, which was resolved by intravenous antibiotic treatment. Simple docking process, multi-joint instruments, and third-arm functionality are among the new surgical system’s advantages. The present cases suggest that robot-assisted nipple-sparing mastectomy with immediate reconstruction using the da Vinci SP Surgical System is feasible and safe. The promising features and potential application of da Vinci SP in breast reconstruction need further study.
Publication History
Received: 29 July 2020
Accepted: 10 December 2020
Article published online:
07 March 2022
© 2021. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Selber JC, Baumann DP, Holsinger FC. Robotic latissimus dorsi muscle harvest: a case series. Plast Reconstr Surg 2012; 129: 1305-12
- 2 Abramovici L, Cartier C, Pierre G. et al. Robot-assisted transaxillary thyroidectomy: surgical technique. Eur Ann Otorhinolaryngol Head Neck Dis 2015; 132: 153-06
- 3 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: 51-6
- 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: e28-30
- 5 Sarfati B, Honart JF, Leymarie N. et al. Robotic da Vinci Xi-assisted nipple-sparing mastectomy: first clinical report. Breast J 2018; 24: 373-6
- 6 Bertolo R, Garisto J, Gettman M. et al. Novel system for robotic single-port surgery: feasibility and state of the art in urology. Eur Urol Focus 2018; 4: 669-73
- 7 Orosco RK, Tam K, Nakayama M. et al. Transoral supraglottic laryngectomy using a next-generation single-port robotic surgical system. Head Neck 2019; 41: 2143-7
- 8 Park HS, Lee J, Lee DW. et al. Robot-assisted nipple-sparing mastectomy with immediate breast reconstruction: an initial experience. Sci Rep 2019; 9: 15669
- 9 Ahn SJ, Song SY, Park HS. et al. Early experiences with robot-assisted prosthetic breast reconstruction. Arch Plast Surg 2019; 46: 79-83
- 10 Dobbs RW, Halgrimson WR, Talamini S. et al. Single-port robotic surgery: the next generation of minimally invasive urology. World J Urol 2020; 38: 897-905
- 11 Sigalove S, Maxwell GP, Sigalove NM. et al. Prepectoral implant-based breast reconstruction: rationale, indications, and preliminary results. Plast Reconstr Surg 2017; 139: 287-94