Cited 0 times in
Comparison between Gasless and Gas-Inflated Robot-Assisted Nipple-Sparing Mastectomy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김지예 | - |
dc.contributor.author | 박형석 | - |
dc.contributor.author | 이관범 | - |
dc.contributor.author | 이지아 | - |
dc.contributor.author | 이해민 | - |
dc.date.accessioned | 2021-05-26T16:48:41Z | - |
dc.date.available | 2021-05-26T16:48:41Z | - |
dc.date.issued | 2021-04 | - |
dc.identifier.issn | 1738-6756 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182844 | - |
dc.description.abstract | Purpose: Nipple-sparing mastectomy (NSM) includes various techniques, including conventional or endoscopic mastectomies. Since the introduction of robot-assisted NSM (RANSM) in 2015, 2 main methods have been used: gasless and gas-inflated techniques. The aim of this study was to compare clinicopathologic characteristics, surgical outcomes, and postoperative complications between patients treated with gasless RANSM and those treated with gas-inflated RANSM. Methods: We conducted a retrospective study of women who underwent gasless or gas-inflated RANSM with immediate breast reconstruction between November 2016 and May 2019. The indications for RANSM were early breast cancer, interstitial mastopathy, or BRCA1/2 mutation carriers. Clinicopathologic characteristics, surgical outcomes, and postoperative complications were analyzed. The severity of complications was graded using the Clavien-Dindo system. Results: A total of 58 RANSM procedures were performed in 46 women: 15 cases of gasless RANSM and 43 cases of gas-inflated RANSM. The proportion of node-negative disease was higher in the gas-inflated group (97.1%) than in the gasless group (69.2%, p = 0.016). Adjuvant radiotherapy was administered in 30.6% of the cases in the gasless group and only 5% of the cases in the gas-inflated group. Other clinicopathological factors were not significantly different between the groups. Regarding surgical outcomes, the initial incision was 1 cm longer in the gasless group (5.17 ± 0.88 cm) than that in the gas-inflated group (4.20 ± 1.05 cm; p = 0.002). The final incision was also longer in the gasless group (5.17 ± 0.88 cm) than that in the gas-inflated group (4.57 ± 1.07 cm; p = 0.040). Operation time, complication rate, and complication grade were not significantly different between the 2 groups. Conclusion: In this study, there were no significant differences in surgical outcomes or postoperative complications between gasless and gas-inflated RANSM, except for a longer incision with the gasless technique. Both techniques are reasonable options for RANSM followed by immediate reconstruction. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean, English | - |
dc.publisher | Korean Breast Cancer Society | - |
dc.relation.isPartOf | JOURNAL OF BREAST CANCER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Comparison between Gasless and Gas-Inflated Robot-Assisted Nipple-Sparing Mastectomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Haemin Lee | - |
dc.contributor.googleauthor | Jeea Lee | - |
dc.contributor.googleauthor | Kwanbum Lee | - |
dc.contributor.googleauthor | Jee Ye Kim | - |
dc.contributor.googleauthor | Hyung Seok Park | - |
dc.identifier.doi | 10.4048/jbc.2021.24.e20 | - |
dc.contributor.localId | A00984 | - |
dc.contributor.localId | A01753 | - |
dc.contributor.localId | A05797 | - |
dc.contributor.localId | A05802 | - |
dc.contributor.localId | A05390 | - |
dc.relation.journalcode | J01279 | - |
dc.identifier.eissn | 2092-9900 | - |
dc.identifier.pmid | 33913274 | - |
dc.subject.keyword | Breast neoplasms | - |
dc.subject.keyword | Mastectomy | - |
dc.subject.keyword | Prophylactic mastectomy | - |
dc.subject.keyword | Robotic surgical procedures | - |
dc.contributor.alternativeName | Kim, Jee Ye | - |
dc.contributor.affiliatedAuthor | 김지예 | - |
dc.contributor.affiliatedAuthor | 박형석 | - |
dc.contributor.affiliatedAuthor | 이관범 | - |
dc.contributor.affiliatedAuthor | 이지아 | - |
dc.contributor.affiliatedAuthor | 이해민 | - |
dc.citation.volume | 24 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 183 | - |
dc.citation.endPage | 195 | - |
dc.identifier.bibliographicCitation | JOURNAL OF BREAST CANCER, Vol.24(2) : 183-195, 2021-04 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.