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This study evaluates the safety and effectiveness of the da Vinci Surgical Systems in prophylactic Nipple Sparing Mastectomy procedures.
Surgical management for breast cancer and risk-reducing techniques have evolved from radical mastectomy to other techniques such as nipple and skin sparing procedures. Nipple-sparing mastectomy (NSM) with reconstruction technology offers the opportunity to preserve the shape of both the breast and the nipple-areola complex.
This study will evaluate the safety and effectiveness of the da Vinci Surgical Systems in NSM procedures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nipple Sparing Mastectomy | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nipple-Sparing Mastectomy | Device | Nipple-sparing mastectomy using da Vinci Surgical Systems. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Primary Effectiveness: No conversions to open NSM | Conversion is defined as conversion of da Vinci robotic-assisted surgery to open surgery | Assessed during surgery |
| Primary Safety: Incidence of adverse events | Incidence of intraoperative and post-operative procedure and device-related adverse events | Assessed during surgery to 42 days after surgery |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of breast cancer | Occurrence and recurrence of breast cancer | Annual through 5 year post-operatively |
| Patient reported outcomes | BREAST-Q |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Florida | Jacksonville | Florida | 32224 | United States | ||
| NorthShore University Health System |
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| ID | Term |
|---|---|
| D015414 | Mastectomy, Subcutaneous |
| ID | Term |
|---|---|
| D008408 | Mastectomy |
| D013514 | Surgical Procedures, Operative |
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Subjects undergo nipple-sparing mastectomy (NSM) procedures using the da Vinci Surgical Systems
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| Pre-operatively, post-operatively at 42 days, annually through 5 years |
| Long-term safety: incidence of adverse events | Incidence of breast procedure-related adverse events during long-term follow up | Annually through 5 years post-operatively |
| Evanston |
| Illinois |
| 60201 |
| United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Northwell Health | New Hyde Park | New York | 11040 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19107 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |