组织工程与重建外科杂志2024，Vol.20Issue(5)：522-527,6.DOI:10.3969/j.issn.1673-0364.2024.05.004
达芬奇机器人辅助保留乳头乳晕乳腺切除即刻假体联合背阔肌组织瓣乳房重建的初步探索
Preliminary research of Da Vinci robot-assisted nipple sparing mastectomy and immediate breast reconstruction with gel implant and the latissimus dorsi muscle flap
陈阔 1吕鹏威1
作者信息
- 1. 450052 河南省郑州市 郑州大学第一附属医院乳腺外科
- 折叠
摘要
Abstract
Objective To explore the effectiveness and practicability of robot-assisted nipple sparing mastectomy and immediate breast reconstruction with gel implant and the latissimus dorsi muscle flap (LDMF).Methods A retrospective analysis of 14 robot-assisted breast reconstruction with LDMF completed from September 2022 to September 2023 in a single medical center was conducted.The cohort was divided into two groups:those with skin islands (n=5) and those without (n=9).Variables such as surgical technique,operative duration and perioperative complications were scrutinized.Results The study encompassed 14 patients.Among these,8 underwent contralateral breast reconstruction,and one opted out of using a gel implant.Average total operative times were (392.1±61.2) minutes for the group with island flap and (351.6±67.4) minutes for the group without island flap.And indwelling drains and length of hospital stay were (11.2±0.7) d and (18.4±1.5) d for the group with island flap,(9.0±1.1) d and (11.3±1.1) d for the group without island flap.The findings were statistically insignificant due to the limited sample size and the bias between the two groups caused by the inclusion of contralateral surgery and axillary surgery.There were no postoperative necrosis and perioperative complications of the nipple-areolar complex.No recurrence or death occurred during a mean follow-up of (3±1) months.All patients were satisfied with the aesthetic results after operation.Conclusion Robot-assisted nipple sparing mastectomy and immediate breast reconstruction with gel implant and LDMF is a safe surgical procedure.LDMF without island flap procedure is more advantageous in terms of drain retention time and hospitalization time,and has good cosmetic results.However,the technique remains challenging and requires a long learning curve for the surgeon.关键词
机器人手术/乳房重建/背阔肌肌瓣/凝胶假体/无皮岛皮瓣Key words
Robotic surgery/Breast reconstruction/Latissimus dorsi muscle flap/Gel implant/Without island flap分类
医药卫生引用本文复制引用
陈阔,吕鹏威..达芬奇机器人辅助保留乳头乳晕乳腺切除即刻假体联合背阔肌组织瓣乳房重建的初步探索[J].组织工程与重建外科杂志,2024,20(5):522-527,6.
