机器人辅助保留乳头乳房切除术：最新进展与持续争议
Robot-assisted Nipple Sparing Mastectomy: Recent Advancements and Ongoing Controversies.
作者信息
Park Ko Un, Cha Chihwan, Pozzi Giada, Kang Young-Joon, Gregorc Vanesa, Sapino Anna, Gazzetta Guglielmo, Marrazzo Emilia, Toesca Antonio
机构信息
Division of Breast Surgery, Department of Surgery, Brigham and Women's Hospital, Breast Oncology Program, Dana-Farber Brigham Cancer Center, Dana-Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215 USA.
Division of Surgical Oncology, Department of Surgery, The Ohio State University James Comprehensive Cancer Center, Columbus, OH USA.
出版信息
Curr Breast Cancer Rep. 2023;15(2):127-134. doi: 10.1007/s12609-023-00487-1. Epub 2023 Apr 27.
PURPOSE OF REVIEW
The purpose of this review is to summarize the recent technical advancements in RNSM, describe the ongoing teaching programs, and discuss the ongoing controversies.
RECENT FINDINGS
Robot-assisted nipple sparing mastectomy (RNSM) is the newest addition to the armamentarium of surgical techniques for patients who require a mastectomy. The potential benefits of using the da Vinci® Robotic Surgical System (Intuitive Surgical, Sunnyvale, CA) are the small 3D camera and lighting offering superior visualization, the Endowrist robotic instruments offering greater range of motion, and surgeon being at a seated position at the console rendering a more ergonomic operating position.
SUMMARY
RNSM can potentially help overcome the technical difficulties of performing a conventional NSM. Further studies are needed to elucidate the oncologic safety and cost-effectiveness of RNSM.
综述目的
本综述旨在总结机器人辅助保留乳头乳房切除术（RNSM）的最新技术进展，描述正在进行的教学项目，并讨论当前存在的争议。
最新发现
机器人辅助保留乳头乳房切除术（RNSM）是乳房切除术患者手术技术库中的最新成员。使用达芬奇®机器人手术系统（直观外科公司，加利福尼亚州桑尼维尔）的潜在益处包括：小型3D摄像头和照明提供了卓越的可视化效果；Endowrist机器人器械提供了更大的活动范围；外科医生坐在控制台前，提供了更符合人体工程学的操作位置。
总结
RNSM可能有助于克服传统保留乳头乳房切除术（NSM）的技术难题。需要进一步研究以阐明RNSM的肿瘤学安全性和成本效益。
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