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Ultrasound-Guided, Indocyanine Green-Directed Robot-Assisted Breast Surgery for Benign Tumours
Nanqiu Liu1, Guochun Zhang1, Chongyang Ren1
1Department of Breast Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China.
Summary
Robot-assisted lumpectomy using ultrasound and indocyanine green (ICG) is a feasible and safe approach for benign breast tumors. This method significantly improves patient cosmetic satisfaction compared to open lumpectomy.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Breast Surgery
Background:
- Evaluating novel techniques for benign breast tumor excision is crucial for optimizing patient outcomes.
- Aesthetic results and patient satisfaction are increasingly important considerations in breast surgery.
- Indocyanine green (ICG) and ultrasound guidance offer potential advantages for tumor localization.
Purpose of the Study:
- To compare the feasibility, safety, and cosmetic satisfaction of ultrasound-guided, indocyanine green (ICG)-assisted robotic lumpectomy versus traditional open lumpectomy for benign breast tumors.
Main Methods:
- A retrospective cohort study involving 68 patients (30 robotic, 38 open) undergoing lumpectomy for benign breast tumors.
- Ultrasound-guided ICG injection was utilized for tumor localization in the robotic surgery group.
- Clinicopathological data, intraoperative details, postoperative complications, and aesthetic outcomes were analyzed using appropriate statistical tests.
Main Results:
- Robotic lumpectomy had a longer operation time (96.0 vs. 42.5 minutes; p <0.001) but no significant difference in postoperative complications.
- Patients undergoing robotic surgery reported significantly higher satisfaction with wound site (96.7% vs. 52.6%; p <0.001), scar appearance (93.3% vs. 71.1%; p = 0.020), and overall breast appearance (86.7% vs. 60.6%; p = 0.017).
- The study demonstrated the feasibility and safety of the developed step-by-step protocol for ultrasound-guided ICG injections in robotic lumpectomy.
Conclusions:
- Ultrasound-guided, ICG-assisted robotic lumpectomy is a feasible and safe alternative for benign breast tumor excision.
- This technique significantly enhances patient cosmetic satisfaction, particularly regarding scar appearance and overall breast aesthetics.
- The integration of ICG and ultrasound guidance facilitates precise tumor localization in robot-assisted breast surgery.
