The First Romanian Robotic-Assisted Mastectomy: A Starting Point for a Literature Review.

IF 0.8 Q4 SURGERY

Chirurgia Pub Date : 2024-10-01 DOI:10.21614/chirurgia.3061

Aniela Nodiţi, Benjamin Sarfati, Teodora-Mihaela Peleaşă, Smaranda Stoleru, Mihaela Alexandra Radu, Cătălin Copăescu, Alexandru Blidaru

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引用次数: 0

Abstract

Background: The advancements in the field of robotic surgery have led to its use in breast surgery. We report the first robotic-assisted nipple-sparing mastectomy (RNSM) using the da Vinci Xi surgical system, in Romania, for a patient with contralateral breast cancer. Immediate breast reconstruction was performed using a silicone implant. There were no major immediate complications. On this occasion, a systematic review was performed to examine the data on safety, feasibility, oncological and cosmetic outcomes for this procedure. Methods: We reviewed the literature from September 2015 to August 2024 in PubMed, Scopus, and EMBASE. Original studies reporting on patients diagnosed with or at high-risk of breast cancer undergoing RNSM were included. Results: Postoperative complications of RNMS were minimal and comparable to those observed with conventional nipple-sparing mastectomy. Furthermore, two studies found that RNSM resulted in significantly lower rates of skin and nipple-areola complex necrosis compared to open surgery (0% vs. 12.5% and 2.4% vs. 15.2%, respectively). Additionally, robotic-assisted mastectomy was linked to greater overall cosmetic satisfaction. On the other hand, the total costs and operating times for robotic procedures were higher than those for open surgery. Conclusion: RNSM is a feasible technique for prophylactic purposes, with both advantages and disadvantages. Although emerging data support the oncological safety and potential benefits, future studies are needed to validate its efficacy in cancer treatment.

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罗马尼亚首例机器人辅助乳房切除术：文献综述的起点。

背景：随着机器人手术领域的不断进步，它已被用于乳腺手术。我们报告了罗马尼亚首例使用达芬奇Xi手术系统的机器人辅助乳头保留乳房切除术（RNSM），患者患有对侧乳腺癌。术后立即使用硅胶假体进行了乳房重建。术后未出现重大并发症。为此，我们进行了一次系统性回顾，以研究该手术的安全性、可行性、肿瘤和美容效果等方面的数据：我们在 PubMed、Scopus 和 EMBASE 中查阅了 2015 年 9 月至 2024 年 8 月的文献。结果：RNMS术后并发症的发生率较低：结果：RNSM术后并发症极少，与传统乳头保留乳房切除术的并发症相当。此外，两项研究发现，与开放手术相比，RNSM导致的皮肤和乳头乳晕复合体坏死率明显较低（分别为0%对12.5%和2.4%对15.2%）。此外，机器人辅助乳房切除术的整体美容满意度更高。另一方面，机器人手术的总成本和手术时间均高于开放手术：RNSM是一种可行的预防性技术，有利也有弊。尽管新出现的数据支持其肿瘤安全性和潜在益处，但还需要未来的研究来验证其在癌症治疗中的有效性。

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

Chirurgia Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.