Breast cancer treatment is also possible with single-hole robotic surgery. Less worry about scars and aftereffects

Oct 22, 2024

Due to the rapid aging, the number of cancer patients in Korea continues to increase every year, and as of 2022, the number of cancer patients was 2,434,089, with one out of every 21 Koreans and one out of every seven people over the age of 65. In particular, breast cancer is the second-highest prevalence cancer among women, but the survival rate is over 93%. However, undergoing total resection in the traditional way, a large scar remains on the chest and it is difficult to recover the old form, so patients experience trauma beyond worry.

As cancer approaches daily life, patients' desire to regain their old form and restore their daily lives is increasing even after cancer treatment. As a result, the goal of cancer treatment has gone beyond completely eliminating malignant tumors, and has reached a level that escapes the fear of aftereffects and scars after treatment.

Hallym University Dongtan Sacred Heart Hospital (Hospital Director Han Sung-woo) is performing breast cancer surgery that does not leave scars and aftereffects on the chest even after surgery using Da Vinci SP (Single Port), a high-tech single-hole robotic surgery machine.



Lim Young-ah, a professor of surgery at Hallym University's Dongtan Sacred Heart Hospital, treated breast cancer patients with the Da Vinci SP, a high-tech single-hole robotic surgery machine, on Sept. 27. In particular, even though it was a total resection surgery that required a resection of the entire breast, the access to the surgical site through an armpit incision did not leave a scar on the chest, and the restoration surgery was performed without the help of a plastic surgeon after the tumor was removed.

A 58-year-old female patient, who underwent surgery, was diagnosed with breast cancer after visiting a hospital due to a lump on her chest. She was a relatively early cancer in stage 1 or 2, but the tumor was found in two places and had to undergo a total resection to remove the entire breast.



Mr. A was worried when he heard that if he underwent breast cancer total resection, he could not preserve his nipples and wheezes due to the wide range of surgery. However, Professor Lim Young-ah decided to remove only the breast tissue inside the skin without leaving a scar on the chest through robotic surgery instead of traditional surgery.

Professor Lim made a 3-5cm incision in his armpit using Da Vinci SP, a single-hole robotic surgical device optimized for minimally invasive surgery. After that, one robotic arm approached the lesion and was divided into several robotic arms to remove the breast tissue with tumors.



This surgical method, when implemented with the existing Da Vinci Xi robotic surgery machine, requires several robotic arms to enter a narrow space from the armpit to the chest, causing frequent collisions between the instruments. However, the Da Vinci SP robotic surgery machine can be equipped with a camera and three surgical instruments on one robotic arm. Since one robot arm enters the body and then moves in several parts near the surgical site, it can freely access deep inside the body without collisions.

In addition, both the surgical instrument and camera are equipped with multi-joint wrist functions, so even when the internal area, which was difficult to access in the mastectomy, is removed, the camera's direction can be freely adjusted to secure surgery vision.

In addition, Professor Lim performed breast cancer resection to reconstruction alone, and thus performed surgery with more complete reconstruction surgery in mind from the resection stage. She preserved blood vessels and tissues and minimized damage to skin tissue to prevent skin necrosis.

"When I heard that I had breast cancer, my whole family was heartbroken, and I even felt depressed thinking that I had to live with scars for the rest of my life after treatment, but I'm incredibly happy that I treated cancer without any visible scars," A said.

Professor Lim Young-ah said, "The treatment area of single-hole robotic surgery is expanded, and it is also applied to high-level surgery such as cancer surgery, and it is possible to access deep inside the body with minimal incision, enabling precise surgery and high satisfaction in recovery speed and aesthetics." "With the development of the latest medical technology, cancer patients can escape the fear of scarring and aftereffects after treatment, which is increasing the rights of cancer patients."

Professor Lim also explained, `To prevent breast cancer, you should undergo a monthly self-examination from the age of 30, specialist treatment every two years after the age of 35, and mammography every two years from the age of 40.'

Meanwhile, Professor Lim Young-ah is performing breast and thyroid cancer surgery using Da Vinci Xi and Da Vinci SP.

Breast cancer treatment is also possible with single-hole robotic surgery. Less worry about scars and aftereffects





bellho@sportschosun.com