Antonio Toesca1, Nickolas Peradze2, Andrea Manconi3, Viviana Galimberti2, Mattia Intra2, Marco Colleoni4, Bernardo Bonanni5, Giuseppe Curigliano6, Mario Rietjens3, Giuseppe Viale7, Virgilio Sacchini8, Paolo Veronesi8. 1. Division of Breast Surgery, European Institute of Oncology, Milan, Italy. Electronic address: antonio.toesca@ieo.it. 2. Division of Breast Surgery, European Institute of Oncology, Milan, Italy. 3. Division of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy. 4. Division of Medical Senology, European Institute of Oncology, Milan, Italy. 5. Division of Cancer Prevention and Genetics, European Institute of Oncology, Milan, Italy. 6. Early Drug Development for Innovative Therapies Division, European Institute of Oncology, Milan, Italy. 7. Division of Pathology, European Institute of Oncology, Milan, Italy; University of Milan, School of Medicine, Milan, Italy. 8. Division of Breast Surgery, European Institute of Oncology, Milan, Italy; University of Milan, School of Medicine, Milan, Italy.
Abstract
BACKGROUND: We previously devised and reported on an innovative surgical technique of robotic nipple-sparing mastectomy and immediate robotic breast reconstruction. Here we describe the outcome of the first 29 such consecutive procedures performed on breast cancer patients to assess feasibility, reproducibility and safety. METHODS: The following morbidity factors were tested: operation time, conversion rate to open technique, length of hospitalization, registration of complications for 1 year postoperatively and their characterization as either minor, major, or multiple, depending on clinical severity and treatment required. RESULTS: The total duration of the final robotic surgeries of our series was around 3 h, showing a very rapid learning curve. The conversion rate due to technical problems was 2 of the 29 procedures (6,9%). No major complications, including hematoma, seroma, skin or nipple-areola injury or necrosis or infection were observed for any case. Two patients had a small degree of blistering from internal electrocautery in the breast skin flap, both of which resolved in one week without any specific therapy. No systemic complications were observed. CONCLUSION: The low conversion rate to open surgery, the rapid learning curve and the low rate of post-operative complications observed in this preliminary series lead us to endorse a prospective study aimed at evaluating patient satisfaction.
BACKGROUND: We previously devised and reported on an innovative surgical technique of robotic nipple-sparing mastectomy and immediate robotic breast reconstruction. Here we describe the outcome of the first 29 such consecutive procedures performed on breast cancerpatients to assess feasibility, reproducibility and safety. METHODS: The following morbidity factors were tested: operation time, conversion rate to open technique, length of hospitalization, registration of complications for 1 year postoperatively and their characterization as either minor, major, or multiple, depending on clinical severity and treatment required. RESULTS: The total duration of the final robotic surgeries of our series was around 3 h, showing a very rapid learning curve. The conversion rate due to technical problems was 2 of the 29 procedures (6,9%). No major complications, including hematoma, seroma, skin or nipple-areola injury or necrosis or infection were observed for any case. Two patients had a small degree of blistering from internal electrocautery in the breast skin flap, both of which resolved in one week without any specific therapy. No systemic complications were observed. CONCLUSION: The low conversion rate to open surgery, the rapid learning curve and the low rate of post-operative complications observed in this preliminary series lead us to endorse a prospective study aimed at evaluating patient satisfaction.
Authors: Mustafa Tukenmez; Burcu Celet Ozden; Orhan Agcaoglu; Mustafa Kecer; Vahit Ozmen; Mahmut Muslumanoglu; Abdullah Igci Journal: J Laparoendosc Adv Surg Tech A Date: 2014-01-08 Impact factor: 1.878
Authors: E Botteri; N Rotmensz; C Sangalli; A Toesca; N Peradze; H R De Oliveira Filho; A Sagona; M Intra; P Veronesi; V Galimberti; A Luini; U Veronesi; O Gentilini Journal: Ann Oncol Date: 2009-01-15 Impact factor: 32.976
Authors: Paolo Pietro Bianchi; Wanda Petz; Fabrizio Luca; Roberto Biffi; Giuseppe Spinoglio; Marco Montorsi Journal: Front Oncol Date: 2014-05-06 Impact factor: 6.244
Authors: Beiqun Zhao; Hannah M Hollandsworth; Arielle M Lee; Jenny Lam; Nicole E Lopez; Benjamin Abbadessa; Samuel Eisenstein; Bard C Cosman; Sonia L Ramamoorthy; Lisa A Parry Journal: J Surg Educ Date: 2019-09-23 Impact factor: 2.891