Abstract
Background We previously devised and reported on an innovative surgical technique of robotic nipple-sparing mastectomy and immediate robotic breast reconstruction. Here we describe the outcome of the first 29 such consecutive procedures performed on breast cancer patients to assess feasibility, reproducibility and safety. Methods The following morbidity factors were tested: operation time, conversion rate to open technique, length of hospitalization, registration of complications for 1 year postoperatively and their characterization as either minor, major, or multiple, depending on clinical severity and treatment required. Results The total duration of the final robotic surgeries of our series was around 3 h, showing a very rapid learning curve. The conversion rate due to technical problems was 2 of the 29 procedures (6,9%). No major complications, including hematoma, seroma, skin or nipple-areola injury or necrosis or infection were observed for any case. Two patients had a small degree of blistering from internal electrocautery in the breast skin flap, both of which resolved in one week without any specific therapy. No systemic complications were observed. Conclusion The low conversion rate to open surgery, the rapid learning curve and the low rate of post-operative complications observed in this preliminary series lead us to endorse a prospective study aimed at evaluating patient satisfaction.
| Original language | English |
|---|---|
| Pages (from-to) | 51-56 |
| Number of pages | 6 |
| Journal | Breast |
| Volume | 31 |
| DOIs | |
| Publication status | Published - Feb 1 2017 |
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Keywords
- Breast cancer
- Breast reconstruction
- Conservative mastectomy
- Nipple-sparing mastectomy
- Risk-reducing surgery
- Robotic mastectomy
ASJC Scopus subject areas
- Surgery
Cite this
Robotic nipple-sparing mastectomy for the treatment of breast cancer : Feasibility and safety study. / Toesca, Antonio; Peradze, Nickolas; Manconi, Andrea; Galimberti, Viviana; Intra, Mattia; Colleoni, Marco; Bonanni, Bernardo; Curigliano, Giuseppe; Rietjens, Mario; Viale, Giuseppe; Sacchini, Virgilio; Veronesi, Paolo.
In: Breast, Vol. 31, 01.02.2017, p. 51-56.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Robotic nipple-sparing mastectomy for the treatment of breast cancer
T2 - Feasibility and safety study
AU - Toesca, Antonio
AU - Peradze, Nickolas
AU - Manconi, Andrea
AU - Galimberti, Viviana
AU - Intra, Mattia
AU - Colleoni, Marco
AU - Bonanni, Bernardo
AU - Curigliano, Giuseppe
AU - Rietjens, Mario
AU - Viale, Giuseppe
AU - Sacchini, Virgilio
AU - Veronesi, Paolo
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Background We previously devised and reported on an innovative surgical technique of robotic nipple-sparing mastectomy and immediate robotic breast reconstruction. Here we describe the outcome of the first 29 such consecutive procedures performed on breast cancer patients to assess feasibility, reproducibility and safety. Methods The following morbidity factors were tested: operation time, conversion rate to open technique, length of hospitalization, registration of complications for 1 year postoperatively and their characterization as either minor, major, or multiple, depending on clinical severity and treatment required. Results The total duration of the final robotic surgeries of our series was around 3 h, showing a very rapid learning curve. The conversion rate due to technical problems was 2 of the 29 procedures (6,9%). No major complications, including hematoma, seroma, skin or nipple-areola injury or necrosis or infection were observed for any case. Two patients had a small degree of blistering from internal electrocautery in the breast skin flap, both of which resolved in one week without any specific therapy. No systemic complications were observed. Conclusion The low conversion rate to open surgery, the rapid learning curve and the low rate of post-operative complications observed in this preliminary series lead us to endorse a prospective study aimed at evaluating patient satisfaction.
AB - Background We previously devised and reported on an innovative surgical technique of robotic nipple-sparing mastectomy and immediate robotic breast reconstruction. Here we describe the outcome of the first 29 such consecutive procedures performed on breast cancer patients to assess feasibility, reproducibility and safety. Methods The following morbidity factors were tested: operation time, conversion rate to open technique, length of hospitalization, registration of complications for 1 year postoperatively and their characterization as either minor, major, or multiple, depending on clinical severity and treatment required. Results The total duration of the final robotic surgeries of our series was around 3 h, showing a very rapid learning curve. The conversion rate due to technical problems was 2 of the 29 procedures (6,9%). No major complications, including hematoma, seroma, skin or nipple-areola injury or necrosis or infection were observed for any case. Two patients had a small degree of blistering from internal electrocautery in the breast skin flap, both of which resolved in one week without any specific therapy. No systemic complications were observed. Conclusion The low conversion rate to open surgery, the rapid learning curve and the low rate of post-operative complications observed in this preliminary series lead us to endorse a prospective study aimed at evaluating patient satisfaction.
KW - Breast cancer
KW - Breast reconstruction
KW - Conservative mastectomy
KW - Nipple-sparing mastectomy
KW - Risk-reducing surgery
KW - Robotic mastectomy
UR - http://www.scopus.com/inward/record.url?scp=84993997509&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84993997509&partnerID=8YFLogxK
U2 - 10.1016/j.breast.2016.10.009
DO - 10.1016/j.breast.2016.10.009
M3 - Article
AN - SCOPUS:84993997509
VL - 31
SP - 51
EP - 56
JO - Breast
JF - Breast
SN - 0960-9776
ER -