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Updated: Jan 22, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Breast surgery and regional anaesthesia
Simon FitzGerald1, Peter M Odor1, Ann Barron1
1Guy's and St. Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH, UK.
Peripheral nerve blocks offer significant advantages for breast surgery patients. This review explores ultrasound-guided regional anesthesia techniques, including fascial plane, paravertebral, and paraspinal blocks, for improved perioperative care and potential breast cancer recurrence reduction.
Area of Science:
- Anesthesiology
- Surgical Oncology
Background:
- Regional anesthesia is crucial for breast surgery perioperative care.
- Peripheral nerve blocks provide an alternative to general anesthesia.
Purpose of the Study:
- To review the practical application and evidence for peripheral nerve block regional anesthesia in breast surgery.
- To explore the role of regional anesthesia in reducing breast cancer recurrence.
Main Methods:
- Discussion of functional anatomy and fascial plane blocks.
- Detailed review of paravertebral and paraspinal techniques.
- Guidance on performing ultrasound-guided blocks.
Main Results:
- Peripheral nerve blocks offer advantages in breast surgery anesthetic management.
- Ultrasound guidance enhances block performance and safety.
- Regional anesthesia may play a role in mitigating breast cancer recurrence post-mastectomy.
Conclusions:
- Regional anesthesia, particularly ultrasound-guided peripheral nerve blocks, is a valuable technique for breast surgery.
- Further research is warranted to confirm the impact of regional anesthesia on breast cancer recurrence.
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