Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision
Abstract Background Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. We report results of SSM with RLDFR, mainly with analysis of feasibility, morbidity, indications, and technique sta...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12957-019-1711-8 |
| _version_ | 1818504083787481088 |
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| author | Gilles Houvenaeghel Marie Bannier Sandrine Rua Julien Barrou Mellie Heinemann Eric Lambaudie Monique Cohen |
| author_facet | Gilles Houvenaeghel Marie Bannier Sandrine Rua Julien Barrou Mellie Heinemann Eric Lambaudie Monique Cohen |
| author_sort | Gilles Houvenaeghel |
| collection | DOAJ |
| description | Abstract Background Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. We report results of SSM with RLDFR, mainly with analysis of feasibility, morbidity, indications, and technique standardization. Methods We determined characteristics of patients, previous treatment of BC, and type of reconstruction. Surgical technique, duration of surgery, and complication rate were reported according to three successive periods: P1–3. Results Forty RLDFR, with breast implant for 16 patients, with previous breast radiotherapy in 30% had been performed. In logistic regression, factors significantly associated with duration of surgery ≥ 300 min were P2 (OR 0.024, p = 0.004) and P3 (OR 0.012, p = 0.004) versus P1. The median mastectomy weight was 330 g and 460 g for BMI < and ≥ 23.5 (p = 0.025). Length of hospitalization was 4 days. Total complication rate was 20% (8/40): seven breast complications (four re-operations) and one RLDF complication with re-operation. Periods were significantly predictive of complications (p = 0.045). Conclusion SSM with RLDFR is feasible, safe, and reproducible. We reported a decrease of duration of surgery, length of post-operative hospitalization, and complication rate. |
| first_indexed | 2024-12-10T21:32:20Z |
| format | Article |
| id | doaj.art-87cb914cf7d54e068c0afed539355eae |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-10T21:32:20Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-87cb914cf7d54e068c0afed539355eae2022-12-22T01:32:45ZengBMCWorld Journal of Surgical Oncology1477-78192019-11-011711910.1186/s12957-019-1711-8Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incisionGilles Houvenaeghel0Marie Bannier1Sandrine Rua2Julien Barrou3Mellie Heinemann4Eric Lambaudie5Monique Cohen6Department of Surgical Oncology, Paoli Calmettes Institute and CRCM, CNRS, INSERM, Aix Marseille UniversitéDepartment of Surgical Oncology, Paoli Calmettes InstituteDepartment of Surgical Oncology, Paoli Calmettes InstituteDepartment of Surgical Oncology, Paoli Calmettes InstituteDepartment of Surgical Oncology, Paoli Calmettes Institute and CRCM, CNRS, INSERM, Aix Marseille UniversitéDepartment of Surgical Oncology, Paoli Calmettes Institute and CRCM, CNRS, INSERM, Aix Marseille UniversitéDepartment of Surgical Oncology, Paoli Calmettes InstituteAbstract Background Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. We report results of SSM with RLDFR, mainly with analysis of feasibility, morbidity, indications, and technique standardization. Methods We determined characteristics of patients, previous treatment of BC, and type of reconstruction. Surgical technique, duration of surgery, and complication rate were reported according to three successive periods: P1–3. Results Forty RLDFR, with breast implant for 16 patients, with previous breast radiotherapy in 30% had been performed. In logistic regression, factors significantly associated with duration of surgery ≥ 300 min were P2 (OR 0.024, p = 0.004) and P3 (OR 0.012, p = 0.004) versus P1. The median mastectomy weight was 330 g and 460 g for BMI < and ≥ 23.5 (p = 0.025). Length of hospitalization was 4 days. Total complication rate was 20% (8/40): seven breast complications (four re-operations) and one RLDF complication with re-operation. Periods were significantly predictive of complications (p = 0.045). Conclusion SSM with RLDFR is feasible, safe, and reproducible. We reported a decrease of duration of surgery, length of post-operative hospitalization, and complication rate.http://link.springer.com/article/10.1186/s12957-019-1711-8Breast reconstructionLatissimus dorsi-flapRobotic surgery |
| spellingShingle | Gilles Houvenaeghel Marie Bannier Sandrine Rua Julien Barrou Mellie Heinemann Eric Lambaudie Monique Cohen Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision World Journal of Surgical Oncology Breast reconstruction Latissimus dorsi-flap Robotic surgery |
| title | Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision |
| title_full | Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision |
| title_fullStr | Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision |
| title_full_unstemmed | Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision |
| title_short | Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision |
| title_sort | skin sparing mastectomy and robotic latissimus dorsi flap reconstruction through a single incision |
| topic | Breast reconstruction Latissimus dorsi-flap Robotic surgery |
| url | http://link.springer.com/article/10.1186/s12957-019-1711-8 |
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