J Breast Cancer.  2020 Feb;23(1):107-112. 10.4048/jbc.2020.23.e3.

Development of Robotic Mastectomy Using a Single-Port Surgical Robot System

• Park HS
• Lee J
• Lee H
• Lee K
• Song SY
• Toesca A

• KMID: 2470887
• DOI: http://doi.org/10.4048/jbc.2020.23.e3

Abstract

Minimal invasive surgical technique has been increasingly applied to breast surgery. Since the first robot-assisted nipple-sparing mastectomy was introduced, we have been performing nipple-sparing mastectomy using multi-port robotic surgical system. Last year, the new robotic surgical system with single port was introduced. We report the development of a robotic nipple-sparing mastectomy with immediate reconstruction through a single incision using the updated single-port surgical robot system for a patient with ductal carcinoma in situ (DCIS). Breast reconstruction was performed using implants. Postoperative pathological examination revealed DCIS in both breasts. There were no major immediate complications, except for a minor skin burn on the right breast. Overall, the initial operation using the updated platform was safely performed.

Keyword

Breast neoplasms; Mastectomy, subcutaneous; Robotic surgical procedures; Minimally invasive surgical procedures; Mammaplasty

MeSH Terms

Breast
Breast Neoplasms
Burns
Carcinoma, Intraductal, Noninfiltrating
Female
Humans
Mammaplasty
Mastectomy*
Mastectomy, Subcutaneous
Minimally Invasive Surgical Procedures
Robotic Surgical Procedures
Skin

Figure

• 

  Figure 1 Images of the patient's preoperative evaluation. (A) Mammography magnification of the right breast showed 6.3-cm segmentally distributed suspicious microcalcification toward the nipple. (B) A 2.2-cm non-mass lesion with internal calcification extended to the subareolar area at the 2–3' o clock position of the right breast in the ultrasound examination. (C) Magnetic resonance imaging showed suspicious clumped enhancement in the upper medial to mediocentral of the right breast.

• 

  Figure 2 The pictures of processes of robot-assisted nipple-sparing mastectomy using the single-port system. (A) A 2.7-cm single incision was made for the left breast. (B) The patient cart was placed at the opposite side of the operation field.

• 

  Figure 3 Pre- and postoperative views of the patient. (A) Preoperative front view of the patient. (B) Postoperative front view of the patient 5 months postoperatively.

Reference

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