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Related Experiment Video

Updated: Sep 20, 2025

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Consensus Statement on Robotic Nipple Sparing Mastectomy Expert Panel.

Jai Min Ryu1, Chi Wei Mok2,3, Antonio Toesca4

  • 1Division of Breast Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Journal of Breast Cancer
|May 28, 2025
PubMed
Summary

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This summary is machine-generated.

This updated consensus provides expert recommendations for robotic nipple-sparing mastectomy (RNSM), a minimally invasive breast surgery technique. It addresses technical challenges and patient selection for safe and effective RNSM practices.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Breast Cancer Management

Background:

  • Robotic nipple-sparing mastectomy (RNSM) has gained popularity since 2019.
  • Evidence supports RNSM feasibility and patient satisfaction.
  • Technical challenges and patient selection remain areas of concern.

Purpose of the Study:

  • To provide an updated international consensus on robotic nipple-sparing mastectomy (RNSM).
  • To address evolving techniques and persistent concerns in RNSM.
  • To establish expert recommendations for RNSM practice.

Main Methods:

  • An international panel of 10 expert surgeons developed consensus statements.
  • Consensus covered indications, contraindications, technical aspects, counseling, outcomes, and training.
Keywords:
Breast NeoplasmsConsensusConsensus Development Conferences as TopicRobotic Surgical Procedures

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  • Voting occurred via online surveys and an in-person meeting, with 80% agreement defining consensus.

    • Main Results:

    • 53 statements achieved at least 80% agreement after three voting rounds.
    • Most statements updated previous consensus guidelines.
    • Experts agreed the statements are recommendations, not mandatory actions.

    Conclusions:

    • Robotic nipple-sparing mastectomy (RNSM) is an evolving, promising technique for minimally invasive breast surgery.
    • The consensus statement offers expert guidance for safe and effective RNSM.
    • RNSM represents a future direction in breast cancer surgery.