Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results
Introduction: Robotic nipple sparing mastectomy (RNSM) may be a breakthrough for breast cancer risk reduction surgeries, providing better aesthetic results. This study aims to spread the knowledge of the robotic surgical technique, still little performed in the world, and to demonstrate the applicab...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Oncologia Clínica, Sociedade Brasileira de Cirurgia Clínica and Sociedade Brasileira de Radioterapia
2022-10-01
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| Series: | Brazilian Journal of Oncology |
| Subjects: | |
| Online Access: | https://www.brazilianjournalofoncology.com.br/details/194/en-US/robotic-nipple-sparing-mastectomy-for-cancer-risk-reduction--demonstration-of-applicability-and-surgical-results |
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| author | Rodrigo Bernardi José Clemente Linhares Audrey Tsunoda Sérgio Bruno Bonatto Hatschbach Reitan Ribeiro Anne Karoline Groth Isabeli Lopes Kruk |
| author_facet | Rodrigo Bernardi José Clemente Linhares Audrey Tsunoda Sérgio Bruno Bonatto Hatschbach Reitan Ribeiro Anne Karoline Groth Isabeli Lopes Kruk |
| author_sort | Rodrigo Bernardi |
| collection | DOAJ |
| description | Introduction: Robotic nipple sparing mastectomy (RNSM) may be a breakthrough for breast cancer risk reduction surgeries, providing better aesthetic results. This study aims to spread the knowledge of the robotic surgical technique, still little performed in the world, and to demonstrate the applicability and surgical results.
Methods: RNSM was offered to patients with small or medium volume breasts, ptosis up to grade 2, and all with genetic mutations at increased risk for breast cancer. The Surgical System da Vinci Si® (Intuitive Surgical, Sunnyvale, CA) was used for the surgeries. The satisfaction of each patient and the time of the surgeries were evaluated.
Results: A total of 4 patients underwent surgery, all of whom had genetic mutations that would make breast cancer prevalent. The duration of the surgery was drastically reduced from 6h20min to 3h in the last surgery. There were no serious complications, such as prosthesis loss or nipple necrosis. Skin burning was noted in two patients, with complete resolution over the weeks.
Conclusion: RNSM has a fast-learning curve and excellent aesthetic results in patients who fit the criteria for surgery. |
| first_indexed | 2024-03-11T21:52:01Z |
| format | Article |
| id | doaj.art-fd19841268fd4be184230d6bd2516254 |
| institution | Directory Open Access Journal |
| issn | 2526-8732 |
| language | English |
| last_indexed | 2024-03-11T21:52:01Z |
| publishDate | 2022-10-01 |
| publisher | Sociedade Brasileira de Oncologia Clínica, Sociedade Brasileira de Cirurgia Clínica and Sociedade Brasileira de Radioterapia |
| record_format | Article |
| series | Brazilian Journal of Oncology |
| spelling | doaj.art-fd19841268fd4be184230d6bd25162542023-09-26T09:00:21ZengSociedade Brasileira de Oncologia Clínica, Sociedade Brasileira de Cirurgia Clínica and Sociedade Brasileira de RadioterapiaBrazilian Journal of Oncology2526-87322022-10-01180010.5935/2526-8732.20220317Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical resultsRodrigo Bernardi0https://orcid.org/0000-0003-4015-5472José Clemente Linhares1Audrey Tsunoda2Sérgio Bruno Bonatto Hatschbach3Reitan Ribeiro4Anne Karoline Groth5Isabeli Lopes Kruk6Department of Oncogynecology and Mastology, Hospital Erasto Gaertner, Curitiba (PR), BrazilDepartment of Oncogynecology and Mastology, Hospital Erasto Gaertner, Curitiba (PR), BrazilDepartment of Oncogynecology and Mastology, Hospital Erasto Gaertner, Curitiba (PR), BrazilDepartment of Oncogynecology and Mastology, Hospital Erasto Gaertner, Curitiba (PR), BrazilDepartment of Oncogynecology and Mastology, Hospital Erasto Gaertner, Curitiba (PR), BrazilDepartment of Plastic Surgery, Hospital Erasto Gaertner, Curitiba (PR), BrazilMedical School Student, Faculdade Pequeno Príncipe (FPP), Curitiba (PR), BrazilIntroduction: Robotic nipple sparing mastectomy (RNSM) may be a breakthrough for breast cancer risk reduction surgeries, providing better aesthetic results. This study aims to spread the knowledge of the robotic surgical technique, still little performed in the world, and to demonstrate the applicability and surgical results. Methods: RNSM was offered to patients with small or medium volume breasts, ptosis up to grade 2, and all with genetic mutations at increased risk for breast cancer. The Surgical System da Vinci Si® (Intuitive Surgical, Sunnyvale, CA) was used for the surgeries. The satisfaction of each patient and the time of the surgeries were evaluated. Results: A total of 4 patients underwent surgery, all of whom had genetic mutations that would make breast cancer prevalent. The duration of the surgery was drastically reduced from 6h20min to 3h in the last surgery. There were no serious complications, such as prosthesis loss or nipple necrosis. Skin burning was noted in two patients, with complete resolution over the weeks. Conclusion: RNSM has a fast-learning curve and excellent aesthetic results in patients who fit the criteria for surgery.https://www.brazilianjournalofoncology.com.br/details/194/en-US/robotic-nipple-sparing-mastectomy-for-cancer-risk-reduction--demonstration-of-applicability-and-surgical-resultsprophylactic mastectomyrobotic surgical proceduresbreast neoplasms |
| spellingShingle | Rodrigo Bernardi José Clemente Linhares Audrey Tsunoda Sérgio Bruno Bonatto Hatschbach Reitan Ribeiro Anne Karoline Groth Isabeli Lopes Kruk Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results Brazilian Journal of Oncology prophylactic mastectomy robotic surgical procedures breast neoplasms |
| title | Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results |
| title_full | Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results |
| title_fullStr | Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results |
| title_full_unstemmed | Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results |
| title_short | Robotic nipple-sparing mastectomy for cancer risk reduction: demonstration of applicability and surgical results |
| title_sort | robotic nipple sparing mastectomy for cancer risk reduction demonstration of applicability and surgical results |
| topic | prophylactic mastectomy robotic surgical procedures breast neoplasms |
| url | https://www.brazilianjournalofoncology.com.br/details/194/en-US/robotic-nipple-sparing-mastectomy-for-cancer-risk-reduction--demonstration-of-applicability-and-surgical-results |
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