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Updated: Apr 6, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Minimally invasive, maximal outcomes in breast surgery
Malcolm R Kell1, Shiva Sharma2
1Mater Misericordiae University Hospital, Dublin, Ireland; University College Dublin, Ireland.
Breast cancer treatment advances, driven by clinical trials, have improved survival. Surgical techniques must evolve alongside chemotherapy, radiation, and early detection to maximize patient outcomes and minimize side effects.
Area of Science:
- Oncology
- Surgical Oncology
- Clinical Research
Background:
- Breast cancer treatment has significantly evolved.
- Randomized control trials have informed current treatment guidelines.
- Advances in chemotherapy, radiation therapy, and early detection have impacted surgical care.
Purpose of the Study:
- To highlight the evolution of breast cancer treatment.
- To emphasize the need for surgical advancements to complement systemic and radiotherapeutic progress.
- To discuss the balance between maximizing survival and minimizing morbidity in breast cancer surgery.
Main Methods:
- Review of randomized control trials and clinical guidelines in breast cancer treatment.
- Analysis of the impact of systemic therapies and radiation on surgical practice.
- Discussion of contemporary surgical approaches in breast cancer management.
Main Results:
- Numerous randomized control trials have shaped breast cancer treatment protocols.
- Progress in chemotherapy, radiation, and early detection has influenced surgical decision-making.
- There is a continuous need to refine surgical techniques.
Conclusions:
- Breast cancer treatment is a dynamic field benefiting from multidisciplinary progress.
- Surgical innovation is crucial to keep pace with other therapeutic advancements.
- The goal is to optimize survival rates while reducing treatment-related complications for breast cancer patients.
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