J Breast Cancer.  2018 Sep;21(3):334-338. 10.4048/jbc.2018.21.e45.

Gasless Robot-Assisted Nipple-Sparing Mastectomy: A Case Report

• Park HS
• Kim JH
• Lee DW
• Song SY
• Park S
• Kim SI
• Ryu DH
• Cho YU

• KMID: 2421375
• DOI: http://doi.org/10.4048/jbc.2018.21.e45

Abstract

Robotic surgical systems enhance surgical accuracy and efficiency by applying advanced technologies such as artificial arm joints to provide higher degrees of freedom of movement and high-quality three-dimensional images. However, the application of robotic surgical systems to breast surgery has not been widely attempted. The robotic system would improve cosmesis by enabling surgery using a single small incision. We report the first case of a gasless robot-assisted nipple-sparing mastectomy and immediate reconstruction in a patient with early breast cancer.

Keyword

Breast neoplasms; Mastectomy; Robotic surgical procedures

MeSH Terms

Artificial Limbs
Breast
Breast Neoplasms
Freedom
Humans
Imaging, Three-Dimensional
Joints
Mastectomy*
Robotic Surgical Procedures

Figure

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  Figure 1 Patient position. (A) A picture of patient position. (B) A schematic illustration of patient position. The ipsilateral arm was straightened to the head and fixed to the arm board.

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  Figure 2 Modified Chung's retractor.

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  Figure 3 Docking status. (A) Fenestrated bipolar forceps and permanent cautery spatula were placed on both lateral sides of the scope. (B) ProGrasp forceps were placed on the left side of the spatula to retract and counter-retract breast parenchyma.

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