We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

  • 317
  • 2014-05-07

Robotic-assisted latissimus dorsi in delayed immediate breast reconstruction

Epublication WebSurg.com, May 2014;14(05). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
Background: For two-stage delayed-immediate reconstruction of the radiated breast, robotic-assisted latissimus dorsi harvest (RALDH) is a secondary option for patients who wish to avoid a donor site incision. The purpose of this study was to compare outcomes of RALDH versus a traditional open technique (TOT) for patients undergoing delayed-immediate breast reconstruction following radiation therapy. Methods: A retrospective analysis of a prospective database of all consecutive patients undergoing latissimus dorsi harvest for radiated breast reconstruction between 2009 and 2013 was performed. Indications, surgical technique, complications and outcomes were assessed. Results: 146 pedicled latissimus dorsi muscle flaps were performed for breast reconstruction and 17 were performed with robotic assistance during the study period (average follow-up 14.6 ±7.3 months). Latissimus dorsi breast reconstruction following radiation was performed in 64 TOT patients and 12 RALDH patients. Surgical complication rates were 37.5% TOT versus 16.7% RALDH (p=0.31), which included seroma (8.9% vs. 8.3%), infection (14.1 vs. 8.3%), wound healing (7.8% vs. 0), and capsular contracture (4.7% vs. 0). Conclusion: RALDH is associated with a low complication rate and reliable results for reconstruction of the irradiated breast while obviating the need for a donor site incision.