Robotic nipple-sparing mastectomy for the treatment of breast cancer: Feasibility and safety study

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)51-56
Number of pages6
JournalBreast
Volume31
DOIs
Publication statusPublished - Feb 1 2017

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Nipples
Mastectomy
Feasibility Studies
Robotics
Learning Curve
Breast Neoplasms
Safety
Conversion to Open Surgery
Seroma
Skin
Electrocoagulation
Mammaplasty
Patient Satisfaction
Hematoma
Hospitalization
Breast
Necrosis
Therapeutics
Prospective Studies
Morbidity

Keywords

  • Breast cancer
  • Breast reconstruction
  • Conservative mastectomy
  • Nipple-sparing mastectomy
  • Risk-reducing surgery
  • Robotic mastectomy

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Robotic nipple-sparing mastectomy for the treatment of breast cancer: Feasibility and safety study",
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.",
keywords = "Breast cancer, Breast reconstruction, Conservative mastectomy, Nipple-sparing mastectomy, Risk-reducing surgery, Robotic mastectomy",
author = "Antonio Toesca and Nickolas Peradze and Andrea Manconi and Viviana Galimberti and Mattia Intra and Marco Colleoni and Bernardo Bonanni and Giuseppe Curigliano and Mario Rietjens and Giuseppe Viale and Virgilio Sacchini and Paolo Veronesi",
year = "2017",
month = "2",
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doi = "10.1016/j.breast.2016.10.009",
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pages = "51--56",
journal = "Breast",
issn = "0960-9776",
publisher = "Churchill Livingstone",

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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

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