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。

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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引用次数: 0

摘要

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。

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

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

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

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

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.

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