Nipple-Sparing Mastectomy and Immediate Breast Reconstruction with da Vinci SP Surgical System: The First Case in Japan.

IF 0.7 Q4 SURGERY

Surgical Case Reports Pub Date : 2025-01-01 Epub Date: 2025-08-19 DOI:10.70352/scrj.cr.24-0187

Yuko Kijima, Munetsugu Hirata, Yumika Nakazawa, Kazuya Shimmura, Naoki Hayashi, Ryunosuke Kijima, Yoshikazu Inoue, Hiroshi Nishioka, Ichiro Uyama

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Abstract

Introduction: Nipple-sparing mastectomy (NSM) has been increasingly used therapeutically for breast cancer patients in whom the nipple-areolar complex is not involved, being associated with better esthetic results and QOL than skin-sparing mastectomy. Robotic nipple-sparing mastectomies (R-NSM) using da Vinci SP surgical system (Intuitive Surgical, Sunnyvale, CA, USA) with immediate breast reconstruction (IBR) has been reported as a suitable surgical treatment for early breast cancers. We present a patient who underwent R-NSM and IBR, with excellent results. To our knowledge, this is the 1st reported case of R-NSM and IBR using the da Vinci SP surgical system in Japan.

Case presentation: We performed R-NSM for a 41-year-old Japanese woman with cTisN0M0 breast cancer. NSM and IBR to place a tissue expander (TE) into the post-pectoral pocket were performed using the da Vinci SP surgical system with the double bipolar method.

Conclusions: This is the 1st reported case of R-NSM using da Vinci SP surgical system in Japan.

Abstract Image

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da Vinci SP手术系统保留乳头乳房切除及即时乳房重建：日本首例。

简介：保留乳头乳房切除术（NSM）越来越多地用于治疗没有涉及乳头-乳晕复合体的乳腺癌患者，与保留皮肤乳房切除术相比，它具有更好的美学效果和生活质量。使用达芬奇SP手术系统（Intuitive surgical, Sunnyvale， CA， USA）的机器人保留乳头乳房切除术（R-NSM）与立即乳房重建（IBR）已被报道为早期乳腺癌的合适手术治疗。我们报告了一位接受R-NSM和IBR治疗的患者，结果非常好。据我们所知，这是日本第一例使用达芬奇SP手术系统的R-NSM和IBR病例。病例介绍：我们对一名患有cTisN0M0型乳腺癌的41岁日本女性进行了R-NSM。采用双双极方法的达芬奇SP手术系统进行NSM和IBR将组织扩张器（TE）置入胸后口袋。结论：这是日本报道的第一例使用达芬奇SP手术系统的R-NSM。

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

Surgical Case Reports SURGERY-

自引率

0.00%

发文量

218

审稿时长

13 weeks