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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2018

01-12-2018 | ASO Author Reflections

ASO Author Reflections: Single Axillary Incision Endoscopic-Assisted Hybrid Technique for Nipple-Sparing Mastectomy

Author: Hung-Wen Lai, MD, PhD

Published in: Annals of Surgical Oncology | Special Issue 3/2018

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Excerpt

Currently, nipple-sparing mastectomy (NSM) is increasingly performed for breast cancer patients without evidence of nipple-areolar complex (NAC) invasion due to the high patient satisfaction rate and acceptable oncologic safety.1 Endoscopic-assisted NSM (E-NSM) alone or followed by immediate breast reconstruction (IBR) with implants or autologous flaps is reported to be associated with a small inconspicuous incision and a good cosmetic outcome.2 Conventional E-NSM was performed with two separate incisions over the axilla and peri-areolar regions. Like NSM with an areolar-related incision, E-NSM with an areolar incision was associated with an increased NAC ischemia/necrosis rate (9.1–19%).2 …
Literature
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Petit JY, Veronesi U, Luini A, Orecchia R, Rey PC, Martella S, et al. When mastectomy becomes inevitable: the nipple-sparing approach. Breast. 2005;14:527–31.CrossRefPubMed
2.
Lai HW, Chen ST, Chen DR, et al. Current trends in and indications for endoscopy-assisted breast surgery for breast cancer: results from a six-year study conducted by the Taiwan Endoscopic Breast Surgery Cooperative Group. PLoS ONE. 2016;11:e0150310.CrossRefPubMedPubMedCentral
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Tukenmez M, Ozden BC, Agcaoglu O, Kecer M, Ozmen V, Muslumanoglu M, Igci A. Videoendoscopic single-port nipple-sparing mastectomy and immediate reconstruction. J Laparoendosc Adv Surg Tech A. 2014;24:77–82.CrossRefPubMedPubMedCentral
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Toesca A, Peradze N, Galimberti V, Manconi A, Intra M, Gentilini O, et al. Robotic nipple-sparing mastectomy and immediate breast reconstruction with implant: first report of surgical technique. Ann Surg. 2017;266:e28–30.CrossRefPubMed
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Lai HW, Lin SL, Chen ST, Kuok KM, Chen SL, Lin YL, et al. Single-axillary-incision endoscopic-assisted hybrid technique for nipple-sparing mastectomy: technique, preliminary results, and patient-reported cosmetic outcome from preliminary 50 procedures. Ann Surg Oncol. 2018;25:1340–9.CrossRefPubMed
Metadata
Title
ASO Author Reflections: Single Axillary Incision Endoscopic-Assisted Hybrid Technique for Nipple-Sparing Mastectomy
Author
Hung-Wen Lai, MD, PhD
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2018
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-6778-x

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