Robotic Nipple Sparing Mastectomy and immediate Breast Reconstruction with Robotic Latissimus Dorsi Flap Harvest – Technique and preliminary results

Robotic nipple sparing mastectomy (R-NSM) was associated with promising cosmetic outcomes [1, 2]. Robotic surgical platforms were also successfully applied in the field of breast reconstruction, either in the harvest of autologous latissimus dorsi flap [3] or in the dissection of submuscular pocket for insertion of a prosthesis [1, 2, 4]. The da Vinci surgical platform can perform NSM with immediate breast reconstruction (IBR) via a small axillary wound. In this study of two cases, we report the preliminary experience and clinical outcome of R-NSM and IBR with robotic latissimus dorsi flap harvest (RLDFH).