Joo Oh Young, Song Seung Yong, Lew Dae Hyun, Park Hyung Seok, Lee Dong Won
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Arch Plast Surg. 2021 Nov;48(6):577-582. doi: 10.5999/aps.2021.00710. Epub 2021 Nov 15.
Robot-assisted surgery is evolving to incorporate a higher number of minimally invasive techniques. There is a growing interest in robotic breast reconstruction that uses autologous tissue. Since a traditional latissimus dorsi (LD) flap leads to a long donor scar, which can be an unpleasant burden to patients, there have been many attempts to decrease the scar length using minimally invasive approaches. This study presents the case of a patient who underwent a robot-assisted nipple-sparing mastectomy followed by immediate breast reconstruction with an LD flap using a single-port robotic surgery system. With the assistance of a single-port robot, a simple docking process using a short and less visible incision is possible. Compared to multiport surgery systems, single-port robots can reduce the possibility of collision between robotic arms and provide a clear view of the medial border of the LD where the curvature of the back restricts the visual field. We recommend the use of single-port robots as a minimally invasive approach for harvesting LD flaps.
机器人辅助手术正在不断发展，以纳入更多的微创技术。使用自体组织的机器人辅助乳房重建越来越受到关注。由于传统的背阔肌（LD）皮瓣会导致较长的供区瘢痕，这对患者来说可能是一个不愉快的负担，因此人们尝试了许多使用微创方法来减少瘢痕长度的方法。本研究介绍了一例患者的病例，该患者接受了机器人辅助保留乳头的乳房切除术，随后使用单端口机器人手术系统进行了LD皮瓣即刻乳房重建。在单端口机器人的辅助下，可以使用短且不太明显的切口进行简单的对接过程。与多端口手术系统相比，单端口机器人可以减少机械臂之间碰撞的可能性，并能清晰地看到背阔肌内侧边界，而背部的曲率会限制该区域的视野。我们建议使用单端口机器人作为获取LD皮瓣的微创方法。
