Basic Principles of Robotic Mastectomy and Immediate Breast Reconstruction

Robotic surgical systems have changed surgeons‘ experience.
Endoscopic or laparoscopic surgery can provide minimally invasive surgery for patients.
There is no difference between endoscopic and robotic surgery in terms of the patients` outcomes.
However, robotic surgery definitely delivers a better experience for surgeons than endoscopic surgery.

This book will be a good friend not only for breast surgeons, but also for plastic and reconstructive surgeons
who are interested in using innovative robotic surgical systems in breast surgery all over the world.

This book is written for breast surgeons or fellows who have not experienced surgery with robotic systems.

I hope this book will be a good friend to guide fellow surgeons
all over the world into a new way of robotic breast surgery.


SECTION 1 Introduction of Robotic Surgery

1 Robotic Surgical Systems

2 Development of Robotic Mastectomy

3 Current Evidences for Robotic Mastectomy

4 FDA Warning about Robotic Mastectomy



SECTION 2 Preclinical Skill Lab and Perioperative Preparation

5 Preclinical Skill Lab for Robotic Mastectomy

6 Candidate Selection for Robotic Mastectomy

7 Preparation at Ward for Robotic Mastectomy



SECTION 3 Robotic or Endoscopic Mastectomy

8 Gas-Inflated Robot-Assisted Nipple-Sparing Mastectomy

9 Gasless Robot-Assisted Nipple-Sparing Mastectomy

10 Gasless Endoscopy-Assisted Nipple-Sparing Mastectomy

11 Robot-Assisted Nipple-Sparing Using the Single Port System



SECTION 4 Immediate Prosthetic Breast Reconstruction

12 Introduction of Prosthetic Breast Reconstruction

13 Two-stage Breast Reconstruction

14 One-stage Breast Reconstruction, Direct-to-implant

15 Postoperative Results of Immediate Prosthetic Reconstruction after RNSM

16 Postoperative Managements of Immediate Prosthetic Reconstruction after RNSM



Appendix Standard Operating Procedure Ver. 1.0 for the Gas-Inflated Robotic Nipple-Sparing Mastectomy Using a Multiport Robotic Surgical System (da Vinci Xi) 1