达芬奇机器人乳腺外科手术151例  

Early experience on 151 cases of Da Vinci robot breast surgery

作　　者：陈阔 吕鹏威[1] Chen Kuo;Lyu Pengwei(Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,郑州450052

出　　处：《中华普通外科杂志》2024年第7期516-520,共5页Chinese Journal of General Surgery

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^(TM)系统,137例患者使用达芬奇机器人Xi^(TM)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。ObjectiveTo summarize the initial experience on da Vinci robot breast surgery(RBS).MethodsThe 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.ResultsForty patients underwent surgery using the da Vinci robot Si^(TM) system,and 137 patients underwent surgery using the da Vinci robot Xi^(TM) 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.ConclusionsAlthough 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 

分 类 号：R737.9[医药卫生—肿瘤]