![]() ![]() Among 16 patients from group 1, time of surgery and anesthesia decreased with learning curve. Mean time of surgery and anesthesia decrease according to groups 1 to 3. Repartition according to 3 surgical procedure groups was 16, 5, and 6 patients. Twenty-seven NSM with immediate breast reconstruction for breast cancers, 22 invasive and 5 in situ, were performed, with robotic latissimus dorsi-flap (RLDF) only in 17 cases, RLDF and breast implant in 6 cases, and implant alone in 4 cases. We explored possible effect of learning curve among patients from group 1 with the same surgical procedure. Differences between three surgical procedures of NAC dissection were analyzed: group 1, dissection with robotic scissors using coagulation group 2, dissection with robotic scissors without coagulation and group 3, dissection with non-robotic scissors and then robotic dissection. ![]() The same technic was used for all patients except for skin and nipple areolar complex (NAC) dissection. Complications and post-operative hospitalization stay were reported. MethodsĪ cohort of patients with robotic NSM for breast cancer was analyzed. We report feasibility of robotic NSM and determine standard surgical procedure and learning curve threefold. Few studies of robotic nipple sparing mastectomy (NSM) were reported.
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