Efficacy of da Vinci robot‐assisted lymph node surgery than conventional axillary lymph node dissection in breast cancer – A comparative study

Abstract

Background: da Vinci robot-assisted axillary lymph node dissection (dVALND) can be a minimally invasive technique to minimize post-operative complications.Objective: To explore the clinical efficacy of dVALND in breast cancer (BC) patients for mitigating the postoperative complications than conventional ALND.Methods: Total 60 female patients with BC were admitted to our hospitals since September 2018, and these patients segregated into two groups of 30 patients each. Modified radical mastectomy for BC was performed to the patients in both groups. In Group 1 (control group), ALND was performed using conventional mode of axillary lymph node surgery. In Group 2 (Test group), the dVALND was performed using da Vinci robot-assisted surgery. Wound healing, aesthetic effect and patient's satisfaction were evaluated after conventional method and dVALND.Results: Postoperative complications viz., wound infection (1/30 (3.33%), p < 0.05), fat necrosis (3/30 (10%), p < 0.05) and lymphedema of upper limbs (2/30 (6.67%), p < 0.05) were observed in dVALND than conventional surgery. Local recurrence or metastasis was minimized and overall aesthetic effect not observed during follow-up. Conclusion:dVALND improved the overall patient's quality of life by mitigating postoperative complications than ALND.

A Review of Robotic-Assisted Bronchoscopy Platforms in the Sampling of Peripheral Pulmonary Lesions

“…Technologic innovations in recent years have led to improved imaging and navigation that has increased the accuracy, reach, and diagnostic yield of endoscopic sampling. The most recent of advances, robotic bronchoscopy, follows a national and global trend of the proliferation of robotic-assisted surgeries for thoracic [ 7 , 8 ] and extra-thoracic pathology [ 9 , 10 ] as well as oncologic staging such as axillary lymph node dissections [ 11 ]. The accompanying literature thus far demonstrates superiority or non-inferiority in numerous metrics including patient outcomes and medical cost compared to open or laparoscopic approaches.…”

Single Surgeon Experience with 500 Cases of the Robotic Bilateral Axillary Breast Approach (BABA) for Thyroid Surgery Using the Da-Vinci Xi System

“…Regarding the robotic BABA, many studies have reported that robotic thyroidectomy is a good surgical method in terms of surgical stability and favorable surgical completeness [12,[15][16][17]. Furthermore, robotic excellent surgical stability and completeness have also been reported in other part surgery [18]. Our hospital adopted the da-Vinci Xi system in December 2018 and began performing robotic BABA thyroid surgery with a single endocrine surgeon [19].…”

Breast Cancer Surgery: New Issues

“…The role of the minimally invasive technique in improving BC patients' quality of life and in minimizing post-operative complications is also analyzed in a recent comparative study by Chen and colleagues, who have reported a decreased incidence of lymphedema after the Da Vinci Robot-assisted axillary lymph-node dissection during NSM. [100].…”