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

Affiliations
  • 1Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. hyungseokpark.md@gmail.com, imgenius@yuhs.ac, imgenius2@gmail.com
  • 2Department of Plastic and Reconstruction Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 3Division of Breast Surgery, European Institute of Oncology IRCCS, Milan, Italy.

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.


Cited by  1 articles

Single-port versus multiport robotic total mesorectal excision for rectal cancer: initial experiences by case-matched analysis of short-term outcomes
Min Hye Jeong, Hye Jin Kim, Gyu-Seog Choi, Seung Ho Song, Jun Seok Park, Soo Yeun Park, Sung Min Lee, Dong Hee Na
Ann Surg Treat Res. 2023;105(2):99-106.    doi: 10.4174/astr.2023.105.2.99.


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