Robot-Assisted Nipple-Sparing Mastectomy and Immediate Reconstruction with Prepectoral Tiloop-Enveloped Implant: A Case Report

Mariotti Carlo, Raffaeli Eugenia, Liverotti Sara, Lenti Enrico, Braccioni Francesco, Gentili Marco, Carrara Maria Cristina and Cardinali Chiara

Department of Breast Surgery, Azienda Ospedali Riuniti di Ancona, Italy Politecnica University of Marche, Italy Department of Emergency Surgery, Azienda Ospedali Riuniti di Ancona, Italy

^*Correspondance to: Mariotti Carlo 

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Abstract:

Background: Robot-assisted nipple-sparing mastectomy is a step forward within the framework of endoscopic mammary surgery. Although its use is still limited to a few centres, the technique has been proved safe and reproducible. Purpose and Methods: This paper describes the first experience our centre had with robot-assisted nipple-sparing mastectomy, which was performed for prophylactic purposes using the Da Vinci Si robotic Surgical System. Result: This preliminary experience was very positive as to the accuracy of surgical manoeuvres thanks to the high quality of the 3D image; the demolition and reconstruction operations (carried out using a prepectoral implant covered with a Tiloop Bra synthetic mesh) were performed through a single axillary incision of just a few centimeters. Conclusion: The technical difficulties are undeniable, but the learning curves described in the literature are promising.

Keywords:

Robotic assisted Nipple Sparing Mastectomy (R-NSM); Endoscopic breast surgery; Breast cancer; Nipple Sparing Mastectomy (NSM); Immediate Prosthetic Breast Reconstruction (IPBR); Synthetic mesh

Cite the Article:

Carlo M, Eugenia R, Sara L, Enrico L, Francesco B, Marco G, et al. RobotAssisted Nipple-Sparing Mastectomy and Immediate Reconstruction with Prepectoral Tiloop-Enveloped Implant: A Case Report. World J Surg Surgical Res. 2019; 2: 1140..