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Related Experiment Video

Updated: May 11, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

'23 h Model' for breast surgery: an early experience.

A J Hainsworth1, C R Lobo, P Williams

  • 1The Rose Centre, St George's Hospital NHS Trust, Blackshaw Road, Tooting, London SW17 0QT, UK.

Breast (Edinburgh, Scotland)
|May 14, 2013
PubMed
Summary

Fast track surgery, a model proven in colorectal procedures, is now showing success in breast cancer care. This approach safely discharges over 80% of patients within 23 hours, reducing hospital stays and costs.

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Area of Science:

  • Oncology
  • Surgical Innovation
  • Health Services Research

Background:

  • Fast track surgery principles are established in colorectal surgery, optimizing clinical and organizational factors to reduce patient recovery time and complications.
  • Implementation of fast track surgery in breast cancer patients has been notably slow despite its proven benefits.

Purpose of the Study:

  • To outline the early implementation experience of a 23-hour discharge model for breast cancer surgery patients.
  • To assess the safety and efficacy of fast track surgery in a non-reconstructive breast surgery setting.

Main Methods:

  • A 3-month audit period in a single institution evaluating the 23-hour discharge model for breast cancer surgery.
  • Focus on non-reconstructive breast surgery patients.
Keywords:
AmbulatoryBreast surgeryFast track

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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

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Last Updated: May 11, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Main Results:

  • Over 80% of patients undergoing non-reconstructive breast surgery were safely discharged within 23 hours.
  • Successful implementation was attributed to strong communication, resource reorganization, active user involvement, and project management.

Conclusions:

  • The 23-hour discharge model is a safe and effective approach for breast cancer surgery patients.
  • This fast-tracking model offers significant economic benefits for hospitals and improves patient outcomes.