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- Title
Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision.
- Authors
Houvenaeghel, Gilles; Bannier, Marie; Rua, Sandrine; Barrou, Julien; Heinemann, Mellie; Lambaudie, Eric; Cohen, Monique
- Abstract
Background: Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. We report results of SSM with RLDFR, mainly with analysis of feasibility, morbidity, indications, and technique standardization. Methods: We determined characteristics of patients, previous treatment of BC, and type of reconstruction. Surgical technique, duration of surgery, and complication rate were reported according to three successive periods: P1–3. Results: Forty RLDFR, with breast implant for 16 patients, with previous breast radiotherapy in 30% had been performed. In logistic regression, factors significantly associated with duration of surgery ≥ 300 min were P2 (OR 0.024, p = 0.004) and P3 (OR 0.012, p = 0.004) versus P1. The median mastectomy weight was 330 g and 460 g for BMI < and ≥ 23.5 (p = 0.025). Length of hospitalization was 4 days. Total complication rate was 20% (8/40): seven breast complications (four re-operations) and one RLDF complication with re-operation. Periods were significantly predictive of complications (p = 0.045). Conclusion: SSM with RLDFR is feasible, safe, and reproducible. We reported a decrease of duration of surgery, length of post-operative hospitalization, and complication rate.
- Subjects
MASTECTOMY; OPERATIVE surgery; ROBOTICS; LOGISTIC regression analysis; SKIN; BREAST implants
- Publication
World Journal of Surgical Oncology, 2019, Vol 17, Issue 1, pN.PAG
- ISSN
1477-7819
- Publication type
Article
- DOI
10.1186/s12957-019-1711-8