Cui Joyce Y, Tanvetyanon Tawee
Department of Medical Education, University of South Florida Morsani College of Medicine, Tampa, USA.
Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, USA.
Cureus. 2023 Feb 20;15(2):e35236. doi: 10.7759/cureus.35236. eCollection 2023 Feb.
Breast implants are prevalent in the United States. Patients with breast implants may be susceptible to iatrogenic implant rupture during cardiothoracic surgery. To our knowledge, however, this complication has never been described following robot-assisted thoracic surgery (RATS). We described a patient who developed a rupture of a saline breast implant after undergoing a robot-assisted left lower lobectomy. We hypothesized that a tear to the breast implant may have occurred either during the extraction of one of the surgical ports or during the forceful extraction of the resected specimen. This case highlights another potential complication of minimally invasive thoracic surgery. For patients with breast implants undergoing thoracic RATS, extra care should be made to the site of port placement and the avoidance of excessive force during surgery.
乳房植入物在美国很普遍。植入乳房植入物的患者在心胸外科手术期间可能易发生医源性植入物破裂。然而，据我们所知，机器人辅助胸外科手术（RATS）后从未有过这种并发症的描述。我们描述了一名患者，在接受机器人辅助左下叶切除术后发生了盐水乳房植入物破裂。我们推测，乳房植入物的撕裂可能发生在手术切口之一的取出过程中，或者在切除标本的强力取出过程中。该病例凸显了微创胸外科手术的另一种潜在并发症。对于接受胸科RATS手术的乳房植入物患者，应格外注意切口放置部位，并在手术期间避免过度用力。
