Early experience on 151 cases of Da Vinci robot breast surgery
陈阔 1吕鹏威1
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作者信息
1. 郑州大学第一附属医院乳腺外科,郑州 450052
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摘要
目的 总结使用达芬奇机器人乳腺外科手术(robot breast surgery,RBS)技术的初步经验.方法 回顾性分析2022年9月至2024年1月期间在郑州大学第一附属医院乳腺外科接受RBS的151例患者的临床资料.结果 14例患者使用达芬奇机器人Si™系统,137例患者使用达芬奇机器人Xi™系统手术.术后随访时间(3±1)个月,无乳头乳晕复合体坏死,除3例假体丢失外,其余患者无严重的围手术期及晚期并发症,且对术后美学效果满意.结论 虽然目前现有的证据还不成熟且随访时间较短,但初步结果表明RBS能提供更好的美容效果,而且可能降低乳头坏死的风险.
Abstract
Objective To summarize the initial experience on da Vinci robot breast surgery(RBS).Methods The clinical data of 151 patients who underwent RBS-related surgical procedures at the First Affiliated Hospital of Zhengzhou University from Sep 2022 to Jan 2024 were retrospectively analyzed.Results Forty patients underwent surgery using the da Vinci robot Si™system,and 137 patients underwent surgery using the da Vinci robot Xi™ system.The postoperative follow-up time was(3±1)month,There was no necrosis of the nipple-areola complex and no serious perioperative complications in the patients except for 3 case of prosthesis loss.Most patients were satisfied with the postoperative aesthetic results.Conclusions Although the currently available evidence is immature and the follow-up time is short,our preliminary results suggest that RBS provides better cosmetic results and may reduce the risk of nipple necrosis.
关键词
乳腺肿瘤/乳房成形术/假体植入/机器人手术
Key words
Breast neoplasms/Mammaplasty/Prosthesis implantation/Robotic surgery
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