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Postoperative pain assessment of robotic nipple-sparing mastectomy with immediate prepectoral prosthesis breast reconstruction: a comparison with conventional nipple-sparing mastectomy
DC Field | Value | Language |
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dc.contributor.author | 김나영 | - |
dc.contributor.author | 문지애 | - |
dc.contributor.author | 박형석 | - |
dc.contributor.author | 이동원 | - |
dc.contributor.author | 이지아 | - |
dc.contributor.author | 이혜선 | - |
dc.date.accessioned | 2021-05-26T17:01:09Z | - |
dc.date.available | 2021-05-26T17:01:09Z | - |
dc.date.issued | 2021-05 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182951 | - |
dc.description.abstract | Aims: Nipple-sparing mastectomy (NSM) is a surgical procedure for patients with breast cancer without nipple-areolar complex (NAC) involvement. Robotic NSM (RNSM) with immediate breast reconstruction has been recently introduced; however, reports regarding RNSM are still lacking. Therefore, this study aimed to evaluate the postoperative assessment with a focus on postoperative pain of RNSM with prepectoral immediate prosthesis breast reconstruction (IPBR) compared with conventional NSM (CNSM) in patients with breast cancer without NAC invasion. Methods: This retrospective study included 81 patients who underwent RNSM (n = 40) or CNSM (n = 41) with prepectoral IPBR using direct-to-implant or tissue expander between January 2018 and June 2020. The primary endpoint was to compare postoperative pain intensity based on a numerical rating scale (NRS). The secondary endpoint was to evaluate the postoperative recovery profile, including postoperative nausea/vomiting (PONV) and complications. Results: A statistical difference was observed in the resting NRS scores at 0-6 postoperative hours between the RNSM and CNSM groups (3.2 ± 1.5 versus 4.2 ± 1.6, respectively; Bonferroni corrected P = 0.005), however, no difference was shown at other time periods. Also, no between-group difference was found in the NRS scores for acting pain within 48 postoperative hours and the number of patients requiring additional analgesics. Conclusions: Despite a statistical difference in the resting NRS scores during the early postoperative phase, the absence of any significant difference in the requirement of additional analgesics between the groups suggested that RNSM does not significantly attenuate postoperative pain intensity. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Ivyspring International Publisher | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF MEDICAL SCIENCES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Postoperative pain assessment of robotic nipple-sparing mastectomy with immediate prepectoral prosthesis breast reconstruction: a comparison with conventional nipple-sparing mastectomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Jiae Moon | - |
dc.contributor.googleauthor | Jeea Lee | - |
dc.contributor.googleauthor | Dong Won Lee | - |
dc.contributor.googleauthor | Hye Sun Lee | - |
dc.contributor.googleauthor | Da Jung Nam | - |
dc.contributor.googleauthor | Min Jung Kim | - |
dc.contributor.googleauthor | Na Young Kim | - |
dc.contributor.googleauthor | Hyung Seok Park | - |
dc.identifier.doi | 10.7150/ijms.56997 | - |
dc.contributor.localId | A00348 | - |
dc.contributor.localId | A06073 | - |
dc.contributor.localId | A01753 | - |
dc.contributor.localId | A02729 | - |
dc.contributor.localId | A05802 | - |
dc.contributor.localId | A03312 | - |
dc.relation.journalcode | J02917 | - |
dc.identifier.eissn | 1449-1907 | - |
dc.identifier.pmid | 33967619 | - |
dc.subject.keyword | breast cancer | - |
dc.subject.keyword | conventional | - |
dc.subject.keyword | nipple-sparing mastectomy | - |
dc.subject.keyword | postoperative pain | - |
dc.subject.keyword | robotic | - |
dc.contributor.alternativeName | Kim, Na Young | - |
dc.contributor.affiliatedAuthor | 김나영 | - |
dc.contributor.affiliatedAuthor | 문지애 | - |
dc.contributor.affiliatedAuthor | 박형석 | - |
dc.contributor.affiliatedAuthor | 이동원 | - |
dc.contributor.affiliatedAuthor | 이지아 | - |
dc.contributor.affiliatedAuthor | 이혜선 | - |
dc.citation.volume | 18 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 2409 | - |
dc.citation.endPage | 2416 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF MEDICAL SCIENCES, Vol.18(11) : 2409-2416, 2021-05 | - |
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