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Single-port robot-assisted prosthetic breast reconstruction with the da Vinci SP Surgical System: first clinical report

Archives of Plastic Surgery 2021년 48권 2호 p.194 ~ 198
주오영, 송승용, 박형석, 노태석,
소속 상세정보
주오영 ( Joo Oh-Young ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
송승용 ( Song Seung-Yong ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
박형석 ( Park Hyung-Seok ) - Yonsei University College of Medicine Department of Surgery
노태석 ( Roh Tai-Suk ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery

Abstract


Robot-assisted nipple-sparing mastectomy with immediate reconstruction is currently performed in an attempt to seek smaller and indistinct incisions. Robotic surgery system has been evolving under the concept of minimal invasive technique which is a recent trend in surgery. One of the latest version is the da Vinci SP Surgical System (Intuitive Surgical). In this report, we will share our experiences. Two patients underwent robot-assisted nipple-sparing mastectomy, each followed by immediate robot-assisted expander insertion and prepectoral direct-to-implant breast reconstruction, respectively. There was no open conversion or major postoperative complication. One patient experienced mild infection, which was resolved by intravenous antibiotic treatment. Simple docking process, multi-joint instruments, and third-arm functionality are among the new surgical system’s advantages. The present cases suggest that robot-assisted nipple-sparing mastectomy with immediate reconstruction using the da Vinci SP Surgical System is feasible and safe. The promising features and potential application of da Vinci SP in breast reconstruction need further study.

키워드

Da Vinci SP; Robotic surgery; Mammaplasty

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