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Keynote Speakers

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Dr. Hung-Wen Lai is currently the director of endoscopic and oncoplastic breast surgery center at Changhua Christian Hospital, and is also the assistant professor of Surgery in National Yang-Ming University, Taiwan. After fellowship training with endoscopic breast surgery in Japan and oncoplastic reconstructive breast surgery training in Italy, Dr. Lai is a pioneer and expert in endoscopic and oncoplastic breast surgery in Taiwan and Asia.

The research fields of Dr. Lai included clinic and basic research of breast cancer. He had published more than 50s SCI papers. Nowadays, his study focused on endoscopic breast surgery, robotic mastectomy, oncoplastic breast surgery, breast reconstruction, and breast MRI related research. Dr. Lai is the pioneer of robotic breast surgery in Asia. He expanded the applications of da Vinci surgery platforms in diverse breast surgery fields, including nipple sparing mastectomy, breast conserving surgery, breast reconstruction with implant or autologous flap with latissimus dorfi. He is also the pioneer of application cryoablation in the management of breast cancer in Taiwan.

E-mail : 143809@cch.org.twhwlai650420@yahoo.com.tw

ABSTRACT:

Due to high rate of patient satisfaction and acceptable oncologic safety, nipple-sparing mastectomy (NSM) was increasingly performed in patients with breast cancer without nipple areolar complex (NAC) invasion. Ischemic complications involving the NAC, however, remained an important issue in NSM. In a meta-analysis, around 9.1% of the NSM reported cases were found to have some degree of NAC necrosis, and 2.0% of NSM cases complicated with complete necrosis leading to NAC loss. Novel surgical technique decreasing the risk of NAC ischemia/necrosis remained needed.
Robotic nipple sparing mastectomy (R-NSM), which used surgical platform of da Vinci, could perform NSM and immediate breast reconstruction (IBR) through small and inconspicuous extra-mammary axillary wound. Its application in the management of early breast cancer or risk reducing mastectomy had been reported in some series, and a growing number of R-NSM performed in the world was observed.
To delineate the benefits and limitations of R-NSM versus C-NSM or E-NSM for patients with breast cancer, a case-control comparison study was conducted. The clinical outcome, medical cost, and patient-reported cosmetic results between R-NSM vs C-NSM and E-NSM in a single institution were analyzed and reported.

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