Open Access
CC BY-NC 4.0 · Arch Plast Surg 2021; 48(02): 194-198
DOI: 10.5999/aps.2020.01557
Breast/Trunk
Case Report

Single-port robot-assisted prosthetic breast reconstruction with the da Vinci SP Surgical System: first clinical report

Authors

  • Oh Young Joo

    Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
  • Seung Yong Song

    Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
  • Hyung Seok Park

    Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
  • Tai Suk Roh

    Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea

Robot-assisted nipple-sparing mastectomy with immediate reconstruction is currently performed in an attempt to seek smaller and indistinct incisions. Robotic surgery system has been evolving under the concept of minimal invasive technique which is a recent trend in surgery. One of the latest version is the da Vinci SP Surgical System (Intuitive Surgical). In this report, we will share our experiences. Two patients underwent robot-assisted nipple-sparing mastectomy, each followed by immediate robot-assisted expander insertion and prepectoral direct-to-implant breast reconstruction, respectively. There was no open conversion or major postoperative complication. One patient experienced mild infection, which was resolved by intravenous antibiotic treatment. Simple docking process, multi-joint instruments, and third-arm functionality are among the new surgical system’s advantages. The present cases suggest that robot-assisted nipple-sparing mastectomy with immediate reconstruction using the da Vinci SP Surgical System is feasible and safe. The promising features and potential application of da Vinci SP in breast reconstruction need further study.



Publication History

Received: 29 July 2020

Accepted: 10 December 2020

Article published online:
07 March 2022

© 2021. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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