Nanqiu Liu, Guochun Zhang, Chongyang Ren, Jiyuan Cao, Ning Liao
{"title":"Ultrasound-Guided, Indocyanine Green-Directed Robot-Assisted Breast Surgery for Benign Tumours.","authors":"Nanqiu Liu, Guochun Zhang, Chongyang Ren, Jiyuan Cao, Ning Liao","doi":"10.29271/jcpsp.2026.08.996","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the feasibility, safety, and cosmetic satisfaction of ultrasound-guided, indocyanine green (ICG)-assisted robotic lumpectomy with open lumpectomy for benign breast tumours.</p><p><strong>Study design: </strong>A retrospective cohort study. Place and Duration of the Study: Department of Breast Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China, from June to September 2023.</p><p><strong>Methodology: </strong>A step-by-step protocol was developed for surgeons to guide ultrasound-guided ICG injections for robotic lumpectomy. Clinicopathological characteristics of the patients, intraoperative data, postoperative complications, and aesthetic outcomes were analysed. Continuous variables were compared using an independent-samples t-test if they were normally distributed; otherwise, the Mann-Whitney U test was used. Categorical variables were compared using a chi-square test or a corrected chi-square test.</p><p><strong>Results: </strong>A total of 68 patients treated concurrently were included in the study; of whom, 30 underwent a robot-assisted local tumour excision through an axillary incision, while 38 had their tumour excision through a standard open incision over the breast. Operation time was significantly longer in the robotic group (96.0 vs. 42.5 minutes; p <0.001). No significant intergroup difference was found in postoperative complications. Patients who underwent robotic surgery achieved significantly higher rates of the highest level of satisfaction with the wound site (96.7% vs. 52.6%; p <0.001), scar appearance (93.3% vs. 71.1%; p = 0.020), and overall breast look (86.7% vs. 60.6%, p = 0.017).</p><p><strong>Conclusion: </strong>This surgical approach, using ICG injection and ultrasound guidance, provides a potentially feasible and safe method for tumour localisation during robotic lumpectomy.</p><p><strong>Key words: </strong>Aesthetic outcome, Breast surgery, Indocyanine green, Robot-assisted surgery, Ultrasound-guidance.</p>","PeriodicalId":94116,"journal":{"name":"Journal of the College of Physicians and Surgeons--Pakistan : JCPSP","volume":"36 8","pages":"996-1003"},"PeriodicalIF":0.8000,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the College of Physicians and Surgeons--Pakistan : JCPSP","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.29271/jcpsp.2026.08.996","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To compare the feasibility, safety, and cosmetic satisfaction of ultrasound-guided, indocyanine green (ICG)-assisted robotic lumpectomy with open lumpectomy for benign breast tumours.
Study design: A retrospective cohort study. Place and Duration of the Study: Department of Breast Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China, from June to September 2023.
Methodology: A step-by-step protocol was developed for surgeons to guide ultrasound-guided ICG injections for robotic lumpectomy. Clinicopathological characteristics of the patients, intraoperative data, postoperative complications, and aesthetic outcomes were analysed. Continuous variables were compared using an independent-samples t-test if they were normally distributed; otherwise, the Mann-Whitney U test was used. Categorical variables were compared using a chi-square test or a corrected chi-square test.
Results: A total of 68 patients treated concurrently were included in the study; of whom, 30 underwent a robot-assisted local tumour excision through an axillary incision, while 38 had their tumour excision through a standard open incision over the breast. Operation time was significantly longer in the robotic group (96.0 vs. 42.5 minutes; p <0.001). No significant intergroup difference was found in postoperative complications. Patients who underwent robotic surgery achieved significantly higher rates of the highest level of satisfaction with the wound site (96.7% vs. 52.6%; p <0.001), scar appearance (93.3% vs. 71.1%; p = 0.020), and overall breast look (86.7% vs. 60.6%, p = 0.017).
Conclusion: This surgical approach, using ICG injection and ultrasound guidance, provides a potentially feasible and safe method for tumour localisation during robotic lumpectomy.
目的：比较超声引导下吲哚菁绿（ICG）辅助机器人乳房肿瘤切除术与开放式乳房肿瘤切除术治疗良性乳腺肿瘤的可行性、安全性和美容效果。研究设计：回顾性队列研究。研究地点和时间：南方医科大学广东省医学科学院广东省人民医院乳腺外科，中国广州，20123年6月- 9月。方法：为外科医生指导超声引导ICG注射进行机器人乳房肿瘤切除术制定了一步一步的方案。分析患者的临床病理特征、术中资料、术后并发症及美观结果。如果连续变量呈正态分布，则使用独立样本t检验进行比较；否则采用Mann-Whitney U检验。分类变量的比较采用卡方检验或修正卡方检验。结果：共纳入68例同时治疗的患者；其中，30人通过腋窝切口接受了机器人辅助的局部肿瘤切除，38人通过乳房上的标准开放切口进行了肿瘤切除。机器人组的手术时间明显更长（96.0 vs 42.5分钟）；p结论：该手术入路采用ICG注射和超声引导，为机器人乳房肿瘤切除术中的肿瘤定位提供了一种潜在可行且安全的方法。关键词：美容效果，乳房手术，吲哚菁绿，机器人辅助手术，超声引导。
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
