KLI

Robot-assisted breast reconstruction using the prepectoral anterior tenting method

Metadata Downloads
Abstract
Abstract
Purpose: Prosthetic breast reconstruction in the prepectoral plane with acellular dermal matrix (ADM) support has been gaining popularity and the use of robotic assistance could enhance this procedure. This study introduces robot-assisted prosthetic breast reconstruction using the anterior tenting method.

Methods: Sixteen patients (16 breasts) undergoing surgery from July 2019 to April 2020 were included in this study. The breast oncology team performed mastectomies with direct-to-implant (DTI) reconstruction using the da Vinci XiTM (Intuitive Surgical Corp., Sunnyvale, CA, USA) system. The prepectoral plane anterior tenting method using ADM was performed.

Results: Of the 16 patients, 14 underwent a nipple-sparing mastectomy and two underwent a skin-sparing mastectomy. The average patient age was 44.9 years, body mass index (BMI) was 22.9 kg/m2, and mastectomy weight was 367.6 g. The breast oncology team had an average operating time of 194.7 minutes, and the plastic surgery team had an average operating time of 80.8 minutes. The average postoperative drainage was 943.6 mL, and minor complications occurred in two patients.

Conclusion: With the robot, only a small incision of approximately 4.5 cm is necessary and areas that are not readily visible, such as the side of the axilla, can be accessed during the surgery. Using a smaller ADM size, the implant pocket under the ADM can be easily created under a magnified view. Inframammary fold (IMF) restoration is also possible with robotic surgery and delayed bleeding from the pocket can be easily controlled.

Keywords: Breast implants; Direct-to-implant reconstruction; Robotic-surgery.
Author(s)
고범석김은기김지선엄진섭이새별전동녘한현호
Issued Date
2021
Type
Article
Keyword
AnalysisBreast implantsDirect-to-implant reconstructionImplantsArtificialMammaplastyMedical collegesMethodsProsthesisRobotic surgeryRobotsUsage
DOI
10.1016/j.bjps.2021.03.120
URI
http://oak.ulsan.ac.kr/handle/2021.oak/7574
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2531543779&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Robot-assisted%20breast%20reconstruction%20using%20the%20prepectoral%20anterior%20tenting%20method&offset=0&pcAvailability=true
Publisher
Journal of Plastic Reconstructive and Aesthetic Surgery
Location
네덜란드
Language
영어
ISSN
1748-6815
Citation Volume
74
Citation Number
11
Citation Start Page
2906
Citation End Page
2915
Appears in Collections:
Medicine > Medicine
Authorize & License
  • AuthorizeOpen
Files in This Item:
  • There are no files associated with this item.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.