Robotic Nipple-Sparing Mastectomy and Breast Reconstruction with Profunda Artery Perforator Flaps.

IF 3.4 2区医学 Q1 SURGERY Plastic and reconstructive surgery Pub Date : 2025-09-01 Epub Date: 2025-01-28 DOI:10.1097/PRS.0000000000011999

Nicholas T Haddock, Sumeet S Teotia, Deborah Farr

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Abstract

Summary: The single-port robotic nipple-sparing mastectomy (SPrNSM) was recently introduced. This approach is safe and has led to favorable outcomes in relation to cosmetic result, patient satisfaction, and breast sensation. The typical reconstruction with all robotic nipple-sparing mastectomies is implant based; however, this is not always what a patient desires. The authors present autologous tissue reconstruction with profunda artery perforator (PAP) flaps following SPrNSM using the same axillary incision. A retrospective review of all patients treated with a PAP flap for breast reconstruction and SPrNSM at the authors' institution from July of 2022 to May of 2023 was performed. Six patients underwent SPrNSM with PAP flap breast reconstruction (3 delayed-immediate and 3 immediate reconstructions). Three patients underwent subsequent revision with fat grafting. Breast reconstruction following robotic nipple-sparing mastectomy has typically been performed with implants. The authors present a series of patients treated with PAP flaps for autologous reconstruction using the same remote axillary incision as used in SPrNSM.

Clinical question/level of evidence: Therapeutic, V.

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机器人乳头保留乳房切除术及深动脉穿支皮瓣乳房重建。

摘要：单端口机器人保留乳头乳房切除术（SPrNSM）最近被介绍。这种方法是安全的，并且在美容效果、患者满意度和乳房感觉方面取得了良好的效果。所有保留乳头的机器人乳房切除术的典型重建是基于植入物的；然而，这并不总是病人想要的。我们采用相同的腋窝切口，在SPrNSM后使用PAP皮瓣进行自体组织重建。回顾性分析了2022年7月至2023年5月在我院接受PAP皮瓣乳房重建和SPrNSM治疗的所有患者。6例患者行SPrNSM伴PAP皮瓣乳房重建术（3例延迟即刻重建术，3例即刻重建术）。3例患者随后进行了脂肪移植翻修。机器人乳头保留乳房切除术后乳房重建通常使用植入物进行。我们介绍了一系列使用PAP皮瓣进行自体重建的患者，使用与SPrNSM相同的远端腋窝切口。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.