Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Fan Yu; Gang Zhang; Lingji Guo; Fu Luo; Yi Chen; Yan Xu

doi:10.3791/68459

Robotisch-assistierte transaxilläre brusterhaltende Chirurgie mit einem Port: Eine prospektive, e...

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JoVE Journal Medicine

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Robotisch-assistierte transaxilläre brusterhaltende Chirurgie mit einem Port: Eine prospektive, einarmige, nicht-randomisierte klinische Phase-IIa-Studie

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03:07 min

August 19, 2025

DOI: 10.3791/68459-v

Fan Yu¹, Gang Zhang¹, Lingji Guo¹, Fu Luo¹, Yi Chen¹, Yan Xu^1,2

¹Department of Breast and Thyroid Surgery, Daping Hospital,Army Medical University, ²Key Laboratory of Chongqing Health Commission for Minimally Invasive and Precise Diagnosis and Treatment of Breast Cancer

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Overview

This study evaluates the use of a novel single-port robotic platform in breast-conserving surgery for malignant lesions. The focus is on technical success and patient outcomes.

Key Study Components

Area of Science

Robotic surgery
Oncoplastic surgery
Breast cancer treatment

Background

Breast-conserving surgery is crucial for malignant lesions.
Single-port robotic technology aims to enhance surgical precision.
Improving tumor boundary recognition is essential for successful outcomes.
Reducing positive surgical margins is a key challenge.

Purpose of Study

To assess the effectiveness of single-port robotic technology in surgery.
To evaluate the safety of this novel approach.
To improve aesthetic outcomes and quality of life for patients.

Methods Used

Implementation of a single-port robotic platform.
Intraoperative frozen-section histopathology for margin assessment.
Evaluation of aesthetic outcomes post-surgery.
Quality of life scoring for patients after the procedure.

Main Results

Successful application of single-port robotics in surgery.
Achievement of tumor-free resection margins.
Positive aesthetic outcomes reported by patients.
Improved quality of life scores observed.

Conclusions

Single-port robotic technology is effective in breast-conserving surgery.
It enhances surgical precision and patient outcomes.
This approach may set a new standard in oncoplastic surgery.

Frequently Asked Questions

What is single-port robotic surgery?

Single-port robotic surgery involves using a robotic system through a single incision to perform complex surgical procedures.

How does this technology improve surgical outcomes?

It enhances visualization and precision, leading to better tumor boundary recognition and reduced surgical margins.

What were the primary endpoints of the study?

The primary endpoint was technical success, defined as achieving tumor-free resection margins.

What secondary outcomes were assessed?

Secondary outcomes included aesthetic results and quality of life scores for patients post-surgery.

Is this technology widely used?

This is one of the first successful applications in China, indicating it may become more common in the future.

What are the implications of this study?

The findings suggest that single-port robotic surgery could improve standards in breast cancer treatment.

In dieser prospektiven Studie wurde die Implementierung einer neuartigen Roboterplattform mit einem Port in der onkoplastischen brusterhaltenden Chirurgie bei malignen Läsionen untersucht. Der primäre Endpunkt konzentrierte sich auf den technischen Erfolg, definiert als das Erreichen tumorfreier Resektionsränder, die durch die intraoperative Histopathologie des Tiefkühlschnitts bestätigt wurden, mit einer sekundären Bewertung der ästhetischen Ergebnisse und des Lebensqualitätswerts der Patienten.

Der Schwerpunkt unserer Studie liegt auf der Anwendung der Single-Port-Robotertechnologie in der Brustkrebschirurgie. Ziel ist es, die Effektivität und Sicherheit der neuartigen Einport-Robotertechnologie zu verbessern. bei brusterhaltender Operation bei Brustkrebs.

Die experimentelle Herausforderung besteht darin, die Erkennungsrate von Tumorgrenzen zu verbessern, die positiven Raten chirurgischer Ränder zu reduzieren und die Häufigkeit von Array-Operationen zu senken. Wir führten die erste erfolgreiche Anwendung der Single-Port-Robotik in der brusterhaltenden Chirurgie bei Brustkrebs in China durch. Zu Beginn verwenden Sie die einportige Roboterkamera, um die Visualisierung des Operationsbereichs herzustellen.

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