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Robot-assisted Nipple-sparing Mastectomy With Immediate Breast Reconstruction: An initial Experience of the Korea Robot-endoscopy Minimal Access Breast Surgery Study Group (KoREa-BSG)

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dc.contributor.author김주흥-
dc.contributor.author김지예-
dc.contributor.author박형석-
dc.contributor.author이지아-
dc.date.accessioned2022-08-23T00:24:34Z-
dc.date.available2022-08-23T00:24:34Z-
dc.date.issued2022-05-
dc.identifier.issn0003-4932-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/189416-
dc.description.abstractObjective: The aim of this study was to present the results of early experience of robot-assisted nipple sparing mastectomy (RANSM). Background: RANSM improves cosmetic outcomes over conventional nipple-sparing mastectomy. However, data on the feasibility and safety of the RANSM are limited. Methods: Patients who underwent RANSM with immediate breast reconstruction as part of the Korea Robot-endoscopy Minimal Access Breast Surgery Study Group (KoREa-BSG) from November 2016 to January 2020 were enrolled. clinicopathologic characteristics, perioperative complications, and operation time were collected. Results: Overall, 73 women underwent 82 RANSM procedures conducted by 11 breast surgeons at 8 institutions. The median patient age was 45.5 years old (20-66 years), and 52 (63.4%) patients were premenopausal. Invasive breast cancer was noted in 55 cases (40 cases were stage i, 11 cases were stage ii, and 4 cases were stage iii, respectively) and ductal carcinoma in-situ was recorded in 20 cases. Of those, 3 patients with BRCA1/2 mutation carriers underwent contralateral risk-reducing RANSM. The median length of hospitalization was 12.0 days (5.0-24.0 days). The incision location was the mid-axillary line and the median incision length was 50.0 mm (30.0-60.0 mm). Median total operation time, median total mastectomy time, and median reconstruction time was 307.0 minutes (163.0-796.0 minutes), 189.5 minutes (97.5-325.0 minutes), and 119.5 minutes (45.0-689.0 minutes). Only 2 cases (2.5%) required reoperation. Nipple ischemia was found in 9 cases (10.9%) but only 1 case (1.2%) required nipple excision given that 8 cases (9.7%) resolved spontaneously. Skin ischemia was observed in 5 cases (6.1%) and only 2 (2.4%) cases needed skin excision whereas 3 cases (3.6%) resolved spontaneously. There was no conversion to open surgery orcases of mortality. The mean time for mastectomy among surgeons who performed more than 10 cases was 182.3 minutes (± 53.7, minutes) and 195.4 minutes (± 50.4, minutes). Conclusion: This was the first report of RANSM conducted in the KoREa-BSG. RANSM is technically feasible and acceptable with a short learning curve. Further prospective research to evaluate surgical and oncologic outcomes is needed.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfANNALS OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHBreast Neoplasms* / pathology-
dc.subject.MESHBreast Neoplasms* / surgery-
dc.subject.MESHEndoscopy / methods-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMammaplasty* / methods-
dc.subject.MESHMastectomy / methods-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNipples / surgery-
dc.subject.MESHRobotics*-
dc.titleRobot-assisted Nipple-sparing Mastectomy With Immediate Breast Reconstruction: An initial Experience of the Korea Robot-endoscopy Minimal Access Breast Surgery Study Group (KoREa-BSG)-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorJai Min Ryu-
dc.contributor.googleauthorJee Ye Kim-
dc.contributor.googleauthorHee Jun Choi-
dc.contributor.googleauthorBeomSeok Ko-
dc.contributor.googleauthorJisun Kim-
dc.contributor.googleauthorJihyoung Cho-
dc.contributor.googleauthorMoo Hyun Lee-
dc.contributor.googleauthorJung Eun Choi-
dc.contributor.googleauthorJoo Heung Kim-
dc.contributor.googleauthorJeea Lee-
dc.contributor.googleauthorSung Mi Jung-
dc.contributor.googleauthorHyuk Jai Shin-
dc.contributor.googleauthorJeeyeon Lee-
dc.contributor.googleauthorHyung Seok Park-
dc.identifier.doi10.1097/SLA.0000000000004492-
dc.contributor.localIdA04910-
dc.contributor.localIdA00984-
dc.contributor.localIdA01753-
dc.relation.journalcodeJ00178-
dc.identifier.eissn1528-1140 (-
dc.identifier.pmid32941285-
dc.identifier.urlhttps://journals.lww.com/annalsofsurgery/Fulltext/2022/05000/Robot_assisted_Nipple_sparing_Mastectomy_With.24.aspx-
dc.contributor.alternativeNameKim, Joo Heung-
dc.contributor.affiliatedAuthor김주흥-
dc.contributor.affiliatedAuthor김지예-
dc.contributor.affiliatedAuthor박형석-
dc.citation.volume275-
dc.citation.number5-
dc.citation.startPage985-
dc.citation.endPage991-
dc.identifier.bibliographicCitationANNALS OF SURGERY, Vol.275(5) : 985-991, 2022-05-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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