Preliminary research of Da Vinci robot-assisted nipple sparing mastectomy and immediate breast reconstruction with gel implant and the latissimus dorsi muscle flap

Abstract

Abstract:

Objective To explore the effectiveness and practicability of robot-assisted nipple sparing mastectomy and

immediate breast reconstruction with gel implant and the latissimus dorsi muscle flap （LDMF）. Methods A retrospective

analysis of 14 robot-assisted breast reconstruction with LDMF completed from September 2022 to September 2023 in a single

medical center was conducted. The cohort was divided into two groups： those with skin islands （n=5） and those without （n=

9）. Variables such as surgical technique， operative duration and perioperative complications were scrutinized. Results The

study encompassed 14 patients. Among these，8 underwent contralateral breast reconstruction， and one opted out of using a

gel implant. Average total operative times were （392.1±61.2） minutes for the group with island flap and （351.6±67.4）

minutes for the group without island flap. And indwelling drains and length of hospital stay were （11.2±0.7） d and （18.4±1.5）d for the group with island flap，（9.0±1.1） d and （11.3±1.1） d for the group without island flap. The findings were

statistically insignificant due to the limited sample size and the bias between the two groups caused by the inclusion of

contralateral surgery and axillary surgery. There were no postoperative necrosis and perioperative complications of the nipple

areolar complex. No recurrence or death occurred during a mean follow-up of （3±1） months. All patients were satisfied with

the aesthetic results after operation. Conclusion Robot-assisted nipple sparing mastectomy and immediate breast

reconstruction with gel implant and LDMF is a safe surgical procedure. LDMF without island flap procedure is more

advantageous in terms of drain retention time and hospitalization time， and has good cosmetic results. However， the technique

remains challenging and requires a long learning curve for the surgeon

Key words:

Robotic surgery, Breast reconstruction, Latissimus dorsi muscle flap, Gel implant, Without island flap

Chen Kuo, LV Pengwei. Preliminary research of Da Vinci robot-assisted nipple sparing mastectomy and immediate breast reconstruction with gel implant and the latissimus dorsi muscle flap[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2024, 20(5): 522-.

[1]	HUANG Ying, BIAN Weiwei. Evaluation of the effect of constructing a decision aid program for breast reconstruction patients based on option grid theory [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2024, 20(6): 687-.
[2]	SONG Dajiang, ZHANG Tianyi, WANG Zhiyuan, et al. Selection of vascular anastomosis methods for breast reconstruction using lobed free lower abdominal flap transplantation [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2024, 20(4): 428-.
[3]	GAO Qiang. Analysis of time window and influencing factors of various complications after breast reconstruction with prosthesis implantation [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(5): 464-.
[4]	REN Yanxin, YU Yan, XU Kexin, et al. Research progress of the effect of radiotherapy on breast reconstruction with prosthesis and autologous tissue after breast cancer surgery [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(5): 511-.
[5]	MA Jianxun, XIA Youchen, LI Bi. Prosthesis selection strategy in breast reconstruction [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(2): 152-.
[6]	ZHU Danli, BAO Wanting, WEI Hao, et al. Advances in breast reconstruction after breast cancer surgery [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(2): 201-.
[7]	. [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2022, 18(5): 413-.
[8]	CHEN Kuo, SONG Dajiang, MU Lan, et al. Repair of abdominal wall donor site defect of TRAM by freeing the anterior rectus sheath of superior rectus abdominis -- An attempt to make patch with autologous tissue [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2022, 18(5): 393-.
[9]	ZHU Fang, XU Zhe, WANG Xianming , et al. Analysis of 50 cases of breast reconstruction with expanded latissimus dorsi musculocutaneous flap immediately after radical mastectomy [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2022, 18(5): 377-.
[10]	YAO Chengcai, CHEN Ming, LIU Changchun, et al. Application of silicone gel breast prosthesis combined with titanium polypropylene mesh in immediate breast reconstruction for early breast cancer [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2022, 18(3): 247-.
[11]	DU Xingyi,OUYANG Yiye,LI Chengcheng,LIU Chunjun. Research Progress of Perforator Flaps in Breast Reconstruction [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2019, 15(2): 115-118.
[12]	XUE Bingjian,LIU Liqiang. Application and Research Progress on Transverse Myocutaneous Gracilis Flap in Breast Reconstruction [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2015, 11(6): 396-399.
[13]	XIN Minqiang,LUAN Jie,MU Dali. Hemodynamic Studies of The Venous Augmented DIEP Flap in Pig [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2015, 11(3): 133-135.
[14]	HAN Siyuan,LIU Xiaoying. Delayed-Immediate Breast Reconstruction [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2015, 11(2): 110-111.
[15]	HU Xueqing,BAO Qi,JIANG Fangzhen,SHAO Zheren,WANG Jianwei. The Application of ICG Angiography in Breast Reconstruction after Mastectomy [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2015, 11(2): 87-89.

Preliminary research of Da Vinci robot-assisted nipple sparing mastectomy and immediate breast reconstruction with gel implant and the latissimus dorsi muscle flap

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