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Updated: May 2, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Surgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in
Patty L Tenofsky1, Phaedra Dowell2, Terri Topalovski2
1Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA; Via Christi Clinic, 1947 Founders' Circle Drive, Wichita, KS 67206, USA.
Background:
There is a lack of information regarding the safety, complication rate, and cosmetic outcome of oncoplastic breast conserving surgery. The purpose of this study is to evaluate and compare oncoplastic and nononcoplastic procedures.
Methods:
A retrospective review was conducted of patients treated with oncoplastic or nononcoplastic lumpectomies. Immediate and long-term complication rates and cosmetic satisfaction were compared.
Results:
Of the 142 surgeries, 58 were oncoplastic lumpectomies (40.8%). Oncoplastic patients were younger than nononcoplastic patients (60.9 vs 65.2 years, P = .043). Immediate complications were similar with the exception of nonhealing wounds (oncoplastic = 8.6% vs nononcoplastic = 1.2%, P = .042). Cosmetic complaints were similar, but fat necrosis was more common in the oncoplastic group (25.9% vs 9.5%, P = .009). Time to radiation and number of future biopsies were similar between the groups.
Conclusion:
Oncoplastic lumpectomy is a safe alternative to standard lumpectomy for selected breast cancer patients.
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