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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 1/2019

01-01-2019 | Breast Oncology

Robotic Nipple-Sparing Mastectomy: The Next Step in the Evolution of Minimally Invasive Breast Surgery

Author: Jesse C. Selber, MD, MPH, FACS

Published in: Annals of Surgical Oncology | Issue 1/2019

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Excerpt

Mastectomy has come a long way since its introduction by Halstead at the turn of the twentieth century. What was once a disfiguring operation guided by a scorched-earth approach has evolved into an elegant dissection, often sparing the nipple–areolar complex, through a small incision hidden in the curvature of the breast. Nipple-sparing mastectomy (NSM) has simultaneously decreased morbidity and increased patient satisfaction and cosmetic results without compromising oncologic outcomes.1‐4 …
Literature
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Gerber B, Krause A, Dieterich M, Kundt G, Reimer T. The oncological safety of skin sparing mastectomy with conservation of the nipple–areola complex and autologous reconstruction: an extended follow-up study. Ann Surg. 2009;249(3):461–8.CrossRefPubMed
2.
Orzalesi L, Casella D, Santi C, et al. Nipple sparing mastectomy: surgical and oncological outcomes from a national multicentric registry with 913 patients (1006 cases) over a six year period. Breast. 2016;25:75–81.CrossRefPubMed
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De La Cruz L, Moody AM, Tappy EE, Blankenship SA, Hecht EM. Overall survival, disease-free survival, local recurrence, and nipple–areolar recurrence in the setting of nipple-sparing mastectomy: a meta-analysis and systematic review. Ann Surg Oncol. 2015;22(10):3241–9.CrossRef
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Satteson ES, Brown BJ, Nahabedian MY. Nipple–areolar complex reconstruction and patient satisfaction: a systematic review and meta-analysis. Gland Surg. 2017;6(1): 4–13.CrossRefPubMedPubMedCentral
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Toesca A, Peradze N, Galimberti V, Manconi A, Intra M, Gentilini O, Sances D, Negri D, Veronesi G, Rietjens M, Zurrida S, Luini A, Veronesi U, Veronesi P. Robotic nipple-sparing mastectomy and immediate breast reconstruction with implant: first report of surgical technique. Ann Surg. 2015;266:e28–e30.CrossRef
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Sarfati B, Honart JF, Leymarie N, Kolb F, Rimareix F. Robotic-assisted nipple sparing mastectomy: a feasibility study on cadaveric models. J Plast Reconstr Aesthet Surg. 2016;69(11):1571–2.CrossRefPubMed
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Toesca A, Peradze N, Manconi A, Galimberti V, Intra M, Colleoni M, et al. Robotic nipple-sparing mastectomy for the treatment of breast cancer: feasibility and safety study. Breast. 2017;31:51–6.CrossRef
Metadata
Title
Robotic Nipple-Sparing Mastectomy: The Next Step in the Evolution of Minimally Invasive Breast Surgery
Author
Jesse C. Selber, MD, MPH, FACS
Publication date
01-01-2019
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 1/2019
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-6936-1

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