Robotic nipple-sparing mastectomy for the treatment of breast cancer: Feasibility and safety study

Toesca, Antonio; Peradze, Nickolas; Manconi, Andrea; Galimberti, Viviana; Intra, Mattia; Colleoni, Marco; Bonanni, Bernardo; Curigliano, Giuseppe; Rietjens, Mario; Viale, Giuseppe; Sacchini, Virgilio; Veronesi, Giulia

doi:10.1016/j.breast.2016.10.009

Cited by 125 publications

(153 citation statements)

References 24 publications

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“…The aim of the robotic mastectomy is to obtain the highquality aesthetic result, without any visible scars. In 2016, in "The Breast", the authors published their results and conclusions of the first phase of feasibility and safety (29).…”

Section: Methodsmentioning

confidence: 99%

Management of Multifocal-Multicentric Breast Cancer: Current Perspective

Milulescu

Marino

Peradze

et al. 2017

chr

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RezumatIncidenţa cancerului de sân multicentric (MC) şi multifocal (MF) are rezultate diverse printre diferitele studii clinice existente în prezent, în principal, din cauza lipsei unei clasificãri şi a unei definiţii standardizatea a acestor douã entitãţi diferite. Tratamentul chirurgical optim pentru cancerul de sân multiplu ipsilateral, rãmâne un subiect de discuţie. Chirurgia conservatoare a sânului are o contraindicaţie relativã în tratamentul cancerului multifocal şi al cancerul multicentric. În acest review narativ am analizat diferenţele dintre cancerul de sân MF şi cel MC, rolul rezonanţei magnetice în detecţia leziunilor multiple ale sânului şi în luarea deciziei tratamentului chirurgical. Am evaluat date din literatura legate de fezabilitatea chirurgiei conservatoare a sânului şi de modalitãţile de tratament loco regional. Studii recente au arãtat cã tratamentul chirurgical conservator al pacientelor cu cancer de sân MF/MC împreunã cu radioterapie şi terapie sistemicã adjuvantã pot avea rate scãzute de recidivã. Pentru a confirma aceste rezultate sunt necesare studii prospective.Cuvinte cheie: sân, cancer, chirurgia conservatoare a sânului, mastectomie, cancer de sân multicentric, cancer de sân multifocal, mastectomie nipplesparing, reconstrucţie mamarã AbstractThe incidence of multifocal (MF) and multicentric (MC) breast cancer has a wide variation among different clinical studies, mostly due to the lack of a standardized classification and definition of these two separate entities. The optimal surgical treatment for multiple ipsilateral breast cancer remains a long debated subject. Multifocal and multicentric breast cancer is usually considered a relative contraindication for breast conserving therapy (BCT). In this narrative review we analyzed differences between MC and MF early breast cancer, the role of magnetic resonance imaging (MRI) in detection of multiple breast lesions, and its role in the surgical approach. We evaluate data from the litera-

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Section: Methodsmentioning

confidence: 99%

Management of Multifocal-Multicentric Breast Cancer: Current Perspective

Milulescu

Marino

Peradze

et al. 2017

chr

Self Cite

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“…However, they did admit that the first operation took 7 hours-this is potentially three times that of a conventional mastectomy theatre time [7]. A recent feasibility and safety study has concluded that further research into patient satisfaction and results is necessary, as it seems that robotic surgery has a very rapid learning curve and few complications, deeming it safe and potentially very effective [8].…”

Section: Current Trends and Future Researchmentioning

confidence: 99%

Mastectomy—A Critical Review

Lazaraviciute¹,

Chaturvedi²

2017

OJCD

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History of breast cancer dates back to at least 1600 B.C. and treatment methods have undergone significant progress over the last hundred years. We are moving away from frighteningly radical, and towards increasingly more conservational breast cancer surgery. And while mastectomy is no longer a first-line choice for all breast cancers, it is still an important and, really, an essential procedure to discuss and research about. Different types and techniques exist and evidence regarding each is vast-with novel techniques appearing even nowadays. For example, robotic surgery is increasingly more common in many surgical specialties and procedures, and mastectomy is no exception. With several high-profile celebrities recently discussing their experiences of breast cancer and mastectomies, this article covers a multitude of essential aspects relevant to this topic, in turn, hopefully, helping patients and doctors deal with the diagnosis and plan the treatment accordingly. Current breast cancer care and mastectomy trends are also discussed here, giving the readers an up-to-date overview of how breast cancer can and should be managed.

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“…5 A low rate of conversion to open mastectomy, low rates of skin necrosis, and high degrees of patient satisfaction characterize early European experience. 6,7 The manuscript by Lai et al presents a series in which R-NSM was performed successfully in 23 breasts with immediate breast reconstruction. There was no nipple necrosis and no positive margins, and all patients were satisfied with the procedure.…”

mentioning

confidence: 99%

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

Selber

2018

Ann Surg Oncol

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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 Despite the clear benefits of NSM, technical challenges of dissecting and removing large specimens through limited incisions have restricted the percentage of qualified candidates that receive NSM. In addition, difficulty visualizing regions of the breast remote from the incision can compromise the oncologic effectiveness of NSM. Robotic nipple-sparing mastectomy (R-NSM) is a natural step in the evolution of minimally invasive breast surgery that has the potential to mitigate the challenges associated with traditional NSM. In NSM, the upper pole of the breast is the most difficult to access through an inframammary incision. In R-NSM, because of the enlarged optical space created as dissection progresses across the breast, dissection actually becomes easier as one gets further from the access incision. This is the exact opposite scenario from a traditional NSM, where the dissection becomes increasingly difficult, requiring deep retraction, headlights, and awkward positioning to see past the breast tissue into the deep recesses of the breast. In R-NSM, insufflation creates a broad dome of uniform

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Robotic nipple-sparing mastectomy for the treatment of breast cancer: Feasibility and safety study

Cited by 125 publications

References 24 publications

Management of Multifocal-Multicentric Breast Cancer: Current Perspective

Management of Multifocal-Multicentric Breast Cancer: Current Perspective

Mastectomy—A Critical Review

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

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