Related Experiment Video
Updated: Jul 14, 2025
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
2.7K
Early Experience of Direct-to-Implant Breast Reconstruction Using Acellular Dermal Matrix after Robot-Assisted
Shin Hyun Kim1,2, Seonghyuk Park1,2, Dong Won Lee1,2
1From the Departments of Plastic and Reconstructive Surgery.
Plastic and Reconstructive Surgery
|October 5, 2023
Summary
Robot-assisted nipple-sparing mastectomy (NSM) with immediate breast reconstruction shows promising patient satisfaction. While complications like infection and nipple loss occurred, the procedure is comparable to conventional methods, warranting further oncologic outcome research.
Area of Science:
- Oncologic Surgery
- Plastic and Reconstructive Surgery
- Robotic Surgery
Background:
- Retrospective review of operative outcomes for breast mound reconstruction following robot-assisted mastectomy.
- Analysis focused on patients undergoing nipple-sparing mastectomy (NSM) with robotic assistance and immediate prepectoral prosthetic reconstruction.
Purpose of the Study:
- To analyze operative outcomes, complications, and patient satisfaction rates of robot-assisted NSM with immediate prepectoral prosthetic reconstruction.
- To compare the novel technique with conventional reconstruction methods.
Main Methods:
- Retrospective review of 39 cases (46 breasts) from June 2018 to July 2019.
- Utilized the Da Vinci Xi robotic system for NSM and lateral incision prepectoral reconstruction.
- Assessed patient characteristics, complications, and satisfaction using BREAST-Q scores.
Main Results:
- Robot-assisted reconstruction yielded superior BREAST-Q satisfaction scores compared to conventional methods.
- Major infection occurred in 15.2% of cases, with 6.6% experiencing nipple loss.
- Severe complications requiring implant removal occurred in 8.7% of breasts.
Conclusions:
- This study is the first to report on robot-assisted NSM with prepectoral acellular dermal matrix-wrapped prosthetic reconstruction.
- The robot-assisted procedure demonstrated non-inferiority to existing reconstruction techniques.
- Further prospective research is recommended to evaluate oncologic outcomes.
