Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Breast Neoplasms

Breast Diseases

Skin Diseases

All consecutive cases of robotic mastectomy over the study duration

Robotic mastectomy with or without reconstruction

Robotic mastectomy

Chi Wei Mok

Conventional nipple and/or skin-sparing mastectomy (NSM/SSM) with or without immediate reconstruction is becoming one of the mainstream surgical treatment for breast cancer and risk reducing mastectomy in recent years. While this technique provides satisfactory oncologic and aesthetic outcomes, its disadvantages include skin flap and/or nipple-areolar complex (NAC) necrosis, NAC malposition/distortion as well as visible scar(s) on the breast.

In terms of technical aspects, NSM/SSM has its inherent challenges in view of limited incisions and thereby difficulties in dissection. Since 2015, a number of institutions worldwide had adopted a new technique of NSM/SSM using robotic surgical system. Institutional experiences worldwide demonstrated feasibility and safety of this technique coupled with improved patients' satisfactions.

To date, there is no center in Singapore or the region offering Robotic NSM/SSM (R-NSM/R-SSM). The authors believe that robotic mastectomy is a feasible and safe technique that can be utilized in our institution and it provides superior aesthetic outcomes with less morbidity and higher patient satisfaction if compared to conventional NSM/SSM.

The aim of this study is to conduct a single-arm prospective pilot study to investigate the safety and feasibility as well as learning curve of R-NSM/R-SSM.

Surgical and Patient Reported Outcomes in Robotic Mastectomy

Pilot Robotic Mastectomy in Singapore (PRoMiSing I) Study: First Safety and Feasibility Prospective Cohort Study in South East Asia

- Operative parameters (in terms of docking time/console time and total operative time - defined as time taken from axilla staging procedure, robot docking time, console time, closure and time taken for reconstruction, if applicable

Short-term oncologic outcomes, such as positivity of margins

Learning curve analysis using cumulative sum (CUSUM) method

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Surgical and Patient Reported Outcomes in Robotic Mastectomy	NCT06335550	Breast Cancer	Robotic mastect...	21 Years - 70 Years	Changi General Hospital
Surgical and Patient Reported Outcomes in Robotic Mastectomy	NCT06335550	Breast Cancer	Robotic mastect...	21 Years - 70 Years	Changi General Hospital

Spots Global Cancer Trial Database for robotic breast surgery