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NCT04585074

Prospective Study of MAstectomy With Reconstruction Including Robot Endoscopic Surgery

Sponsor: Severance Hospital

View on ClinicalTrials.gov

Summary

Robotic mastectomy and immediate reconstruction have been introduced in 2015. However, since robotic mastectomy is the latest surgical technique, there is a lack of studies prospectively comparing conventional mastectomy and immediate reconstruction with robotic mastectomy. For this reason, this study is designed to establish a single institution cohort study that prospectively collects patients undergoing mastectomy and reconstruction. This study was initially designed as a single institution study, however, currently, the study was extended to the multicenter study including 18 institutions over the country. Using the established prospective cohort data, a comparative study of robotic mastectomy with conventional mastectomy and reconstruction, and cost-effectiveness and satisfaction of robotic endoscopic surgery, and cost-effectiveness and satisfaction of reconstructive surgery are to be analyzed.

Official title: Prospective Cohort Study of Mastectomy With Reconstruction Including Robot Endoscopic Breast Surgery

Key Details

Gender

FEMALE

Age Range

19 Years - 80 Years

Study Type

OBSERVATIONAL

Enrollment

2000

Start Date

2020-04-08

Completion Date

2030-04-07

Last Updated

2025-05-15

Healthy Volunteers

No

Interventions

PROCEDURE

Robotic or endoscopic nipple sparing mastectomy

Cases or Patients who underwent robotic nipple-sparing mastectomy and immediate reconstruction are enrolled in this arm. Robotic nipple-sparing mastectomy should be performed using robotic surgical systems. Robotic surgical systems include da Vinci S,Si, X, Xi, and SP systems. Axillary or lateral incisions are used for this procedure. Immediate reconstruction includes tissue expander insertion, direct-to-implant, latissimus dorsi flap, transverse abdominis rectus muscle flap, or deep inferior epigastric perforators flap. Cases with robotic mastectomy without immediate reconstruction are excluded.

PROCEDURE

Conventional mastectomy (including nipple sparing mastectomy, skin sparing mastectomy)

Cases or Patients who underwent conventional mastectomy and immediate reconstruction are enrolled in this arm. Conventional mastectomy should not be performed using robotic or endoscopic surgical systems. Any incisions can be performed for this procedure. Conventional mastectomy includes also Nipple-sparing mastectomy and Skin sparing mastectomy. Immediate reconstruction includes tissue expander insertion, direct-to-implant, latissimus dorsi flap, transverse abdominis rectus muscle flap, or deep inferior epigastric perforators flap. Cases without immediate reconstruction are excluded.

Locations (18)

Kosin University Gospel Hospital

Busan, Busan, South Korea

Chungnam National University Sejong Hospital

Sejong, Chungcheongnam-do, South Korea

Kyungpook National University Chilgok Hospital

Daegu, Daegu, South Korea

Wonju Severance Christian hospital

Wŏnju, Gangwon-do, South Korea

Korea University Ansan Hospital

Ansan, Gyeonggi-do, South Korea

Myongji Hospital

Goyang-si, Gyeonggi-do, South Korea

Yongin Severance Hospital

Yongin-si, Gyeonggi-do, South Korea

Samsung Changwon Medical Center

Changwon, Gyeongsangnam-do, South Korea

The Catholic University of Korea, Incheon ST. Mary's Hospital

Incheon, Incheon, South Korea

Korea University Anam Hospital

Seoul, Seoul, South Korea

Seoul National University Hospital

Seoul, Seoul, South Korea

Soonchunhyang University Hospital

Seoul, Seoul, South Korea

Gangnam Severance Hospital

Seoul, Seoul, South Korea

Seoul Metropolitan Government Seoul National University Boramae Medical Center

Seoul, Seoul, South Korea

Korea University Guro Hospital

Seoul, Seoul, South Korea

Yonsei University College of Medicine

Seoul, Seoul, South Korea

Samsung Medical Center

Seoul, Seoul, South Korea

Asan Medical Center

Seoul, Seoul, South Korea