Chen Kuo, Lu Pengwei
Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Front Oncol. 2025 May 16;15:1580504. doi: 10.3389/fonc.2025.1580504. eCollection 2025.
To prevent heat-steam-induced skin damage during robotic nipple-sparing mastectomy with immediate breast reconstruction (RNSMIBR). Methods: Clinical data from 156 breast cancer patients undergoing RNSMIBR were analyzed retrospectively. Patients were divided into three groups: no skin cooling (group A, 29 cases), gauze cooled by ice water (group B, 99 cases), and gauze with ice water combined with suction tubing (group C, 28 cases). Key parameters such as age, BMI, and cancer pathology showed no significant differences across groups (P>0.05). Intraoperative skin temperature, mastectomy duration, and complications from heat-steam-induced skin damage were recorded.
Groups B and C had significantly lower skin temperatures compared to group A (P<0.01). Heat-steam skin damage occurred in seven cases: five in group A and two in group B (P<0.05). One group A patient experienced severe complications, requiring implant removal.
Cooling breast skin with ice-water-soaked gauze combined with suction tubing during RNSMIBR significantly reduces the risk of heat-steam-induced skin damage.
预防机器人保乳乳房切除即刻乳房重建术（RNSMIBR）过程中热蒸汽所致的皮肤损伤。方法：回顾性分析156例行RNSMIBR的乳腺癌患者的临床资料。患者分为三组：未进行皮肤冷却组（A组，29例）、用冰水冷却纱布组（B组，99例）、用冰水冷却纱布联合吸引管组（C组，28例）。年龄、体重指数和癌症病理等关键参数在各组间无显著差异（P>0.05）。记录术中皮肤温度、乳房切除持续时间以及热蒸汽所致皮肤损伤的并发症情况。
与A组相比，B组和C组的皮肤温度显著更低（P<0.01）。发生热蒸汽皮肤损伤7例：A组5例，B组2例（P<0.05）。A组1例患者出现严重并发症，需要取出植入物。
RNSMIBR过程中用冰水浸泡的纱布联合吸引管冷却乳房皮肤可显著降低热蒸汽所致皮肤损伤的风险。
