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Robotic nipple-sparing mastectomy complication rate compared to traditional nipple-sparing mastectomy: a systematic review and meta-analysis.
Filipe, M D; de Bock, E; Postma, E L; Bastian, O W; Schellekens, P P A; Vriens, M R; Witkamp, A J; Richir, M C.
Afiliación
  • Filipe MD; Department of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands. m.d.filipe@umcutrecht.nl.
  • de Bock E; Department of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
  • Postma EL; Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
  • Bastian OW; Department of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
  • Schellekens PPA; Department of Plastic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
  • Vriens MR; Department of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
  • Witkamp AJ; Department of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
  • Richir MC; Department of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
J Robot Surg ; 16(2): 265-272, 2022 Apr.
Article en En | MEDLINE | ID: mdl-34128142
Breast cancer is worldwide the most common cause of cancer in women and causes the second most common cancer-related death. Nipple-sparing mastectomy (NSM) is commonly used in therapeutic and prophylactic settings. Furthermore, (preventive) mastectomies are, besides complications, also associated with psychological and cosmetic consequences. Robotic NSM (RNSM) allows for better visualization of the planes and reducing the invasiveness. The aim of this study was to compare the postoperative complication rate of RNSM to NSM. A systematic search was performed on all (R)NSM articles. The primary outcome was determining the overall postoperative complication rate of traditional NSM and RNSM. Secondary outcomes were comparing the specific postoperative complication rates: implant loss, hematoma, (flap)necrosis, infection, and seroma. Forty-nine studies containing 13,886 cases of (R)NSM were included. No statistically significant differences were found regarding postoperative complications (RNSM 3.9%, NSM 7.0%, p = 0.070), postoperative implant loss (RNSM 4.1%, NSM 3.2%, p = 0.523), hematomas (RNSM 4.3%, NSM 2.0%, p = 0.059), necrosis (RNSM 4.3%, NSM 7.4%, p = 0.230), infection (RNSM 8.3%, NSM 4.0%, p = 0.054) or seromas (RNSM 3.0%, NSM 2.0%, p = 0.421). Overall, there are no statistically significant differences in complication rates between NSM and RNSM.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Female / Humans Idioma: En Revista: J Robot Surg Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Female / Humans Idioma: En Revista: J Robot Surg Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido