第一个机器人辅助乳房保护手术的多中心研究:来自KoREa-BSG组的见解
Hee Jun Choi1, Se Hyun Paek2, Jun-Hee Lee3
1Department of Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
Surgical endoscopy
|August 11, 2025
概括
机器人辅助乳房手术显示出改善美容结果的希望. 早期的多中心数据表明,这种最少的侵入性技术是可行的,并且对于乳房保护程序是安全的.
科学领域:
- 在瘤学瘤学.
- 手术创新 在外科创新.
- 最少侵入性的手术
背景情况:
- 机器人辅助乳房保护手术 (RABCS) 与传统方法相比,具有潜在的美容优势.
- 目前关于RABCS的可行性和安全性的数据有限.
- 这项研究评估了RABCS的早期结果.
研究的目的:
- 评估机器人辅助乳房保护手术的可行性和安全性.
- 报告早期的术后结果和并发症.
- 建立未来比较研究的基线.
主要方法:
- 150名接受RABCS治疗的患者 (2019年8月 - 2023年10月) 的多中心回顾性审查.
- 收集关于临床病理学特征,手术细节,并发症,复发和重新手术的数据.
- 手术技术包括达芬奇SP系统,气体灌气和哨兵淋巴结活检.
主要成果:
- 150名患有侵袭性乳腺癌 (75.3%) 或 in situ管道癌 (29例) 的患者接受了RABCS.
- 平均手术时间为133.8分钟;平均切口长度为37.1毫米.
- 低并发症率 (4%),没有转换为开放性手术,复发率最小 (1.3%).
结论:
- 机器人辅助的乳房保护手术是一种可行且安全的技术.
- 需要进一步的前性研究来评估患者满意度,成本效益和长期结果.
- 这份多中心报告提供了RABCS疗效的初步证据.
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