Transumbilical Single-port Robotically Assisted Nipple-sparing Mastectomy: A Cadaveric Study

Benjamin Sarfati, Antonio Toesca, Aurélie Roulot, Alessandra Invento, Benjamin Sarfati, Antonio Toesca, Aurélie Roulot, Alessandra Invento

Abstract

The authors performed a transumbilical, single-port robotically assisted, nipple-sparing mastectomy on a cadaveric model to assess technical feasibility. Surgeon-controlled, robotic-wristed instrumentation, as well as 3-dimensional high definition (HD) vision allowed the entire dissection to be performed through a single incision placed in the umbilicus. The technique warrants further exploration and development before any application in clinical applied research.

Conflict of interest statement

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

Figures

Fig. 1.
Fig. 1.
Robotic subcutaneous dissection toward the left breast.
Fig. 2.
Fig. 2.
Anterior dissection near completion.
Fig. 3.
Fig. 3.
Initiation of posterior dissection to release the mammary gland from the chest wall.
Fig. 4.
Fig. 4.
Mammary gland removed through the umbilicus. Retained subcutaneous gas from insufflation is visible.

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Source: PubMed

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