Evaluation of safety and operative time in tumescent-free robotic nipple-sparing mastectomy: a retrospective single-center cohort study.

IF 1.2 4区医学 Q3 SURGERY

Annals of Surgical Treatment and Research Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI:10.4174/astr.2024.107.1.8

Yung-Huyn Hwang, Hyun Ho Han, Jin Sup Eom, Tae-Kyung Robyn Yoo, Jisun Kim, Il Yong Chung, BeomSeok Ko, Hee Jeong Kim, Jong Won Lee, Byung Ho Son, Sae Byul Lee

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引用次数: 0

Abstract

Purpose: Tumescent in nipple-sparing mastectomy (NSM) has been reported to increase the risk of necrosis by impairing blood flow to the skin flap and nipple-areolar complex. At our institution, we introduced a tumescent-free robotic NSM using the da Vinci single-port system (Intuitive Surgical, Inc.).

Methods: We conducted a retrospective analysis of patients who underwent tumescent-free robotic NSM between October 2020 and March 2023 at Asan Medical Center (Seoul, Korea). Clinicopathological characteristics, adverse events, and operative time were evaluated.

Results: During the study period, 118 patients underwent tumescent-free robotic NSM. Thirty-one patients (26.3%) experienced an adverse event. Five patients (4.2%) were classified as grade III based on the Clavien-Dindo classification and required surgery. The mean total operative time was 467 minutes for autologous tissue reconstruction (n = 49) and 252 minutes for implants (n = 69). No correlation was found between the cumulative number of surgical cases and the breast operative time (P = 0.30, 0.52, 0.59 for surgeons A, B, C) for the 3 surgeons. However, a significant linear relationship (P < 0.001) was observed, with the operative time increasing by 13 minutes for every 100-g increase in specimen weight.

Conclusion: Tumescent-free robotic NSM is a safe procedure with a feasible operative time and few adverse events.

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评估无抽液机器人乳头保留乳房切除术的安全性和手术时间：一项回顾性单中心队列研究。

目的：据报道，乳头保留乳房切除术（NSM）中的膨胀剂会影响皮瓣和乳头乳晕复合体的血流，从而增加坏死风险。在我们医院，我们使用达芬奇单孔系统（直觉外科公司）引进了无膨胀剂机器人乳腺切除术：我们对 2020 年 10 月至 2023 年 3 月期间在牙山医疗中心（韩国首尔）接受无抽液机器人 NSM 的患者进行了回顾性分析。对临床病理特征、不良事件和手术时间进行了评估：研究期间，118 名患者接受了无肿胀机器人 NSM 手术。31名患者（26.3%）发生了不良事件。根据 Clavien-Dindo 分级，5 名患者（4.2%）被列为 III 级，需要进行手术。自体组织重建的平均手术总时间为 467 分钟（49 人），植入物重建的平均手术总时间为 252 分钟（69 人）。3 位外科医生的累计手术例数与乳房手术时间之间没有相关性（A、B、C 外科医生的相关性分别为 0.30、0.52、0.59）。然而，观察到了明显的线性关系（P < 0.001），标本重量每增加 100 克，手术时间增加 13 分钟：结论：无膨胀剂机器人 NSM 是一种安全的手术，手术时间短，不良反应少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Surgical Treatment and Research SURGERY-

CiteScore

2.30

自引率

7.10%

发文量

期刊介绍： Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).