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CC BY-NC 4.0 · Arch Plast Surg 2019; 46(01): 79-83
DOI: 10.5999/aps.2018.00052
Case Report

Early experiences with robot-assisted prosthetic breast reconstruction

Sung Jae Ahn 
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Seung Yong Song 
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Hyung Seok Park 
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Se Ho Park 
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Dae Hyun Lew 
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Tai Suk Roh 
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Dong Won Lee 
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
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Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipplesparing mastectomy with immediate reconstruction is currently performed to avoid breast scars. Four patients with invasive ductal carcinoma underwent robot-assisted nipple-sparing mastectomy and immediate robot-assisted expander insertion. Through a 6-cm incision along the anterior axillary line, sentinel lymph node biopsy and nipple-sparing mastectomy were performed by oncologic surgeons. The pectoralis major muscle was elevated, an acellular dermal matrix (ADM) sling was created with robotic assistance, and an expander was inserted into the subpectoral, sub-ADM pocket. No patients had major complications such as hematoma, seroma, infection, capsular contracture, or nipple-areolar necrosis. The mean operation time for expander insertion was 1 hour and 20 minutes, and it became shorter with more experience. The first patient completed 2-stage prosthetic reconstruction and was highly satisfied with the unnoticeable scar and symmetric reconstruction. We describe several cases of immediate robot-assisted prosthetic breast reconstruction. This procedure is a feasible surgical option for patients who want to conceal surgical scars.

Keywords

Robotic surgical procedures - Mammaplasty - Breast implants - Tissue expansion devices


Publication History

Received: 09 January 2018

Accepted: 10 July 2018

Article published online:
28 March 2022

© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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