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Minimal access nipple-sparing mastectomy - the current European landscape
Piotr Pluta1, Gauthier Rathat2, Lydia Blay3
1Department of Surgical Oncology and Breast Diseases, Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland.
Przeglad Menopauzalny = Menopause Review
|July 28, 2025
Summary
Minimal access nipple-sparing mastectomy (M-NSM) is a novel surgical technique. In Europe, M-NSM is used by few specialists, facing cost and reimbursement barriers, with a need for training to become standard practice.
Area of Science:
- Oncology
- Surgical Innovation
- Breast Surgery
Background:
- Minimal access nipple-sparing mastectomy (M-NSM) represents an advancement over traditional methods.
- Current M-NSM progress is largely driven by Asian surgical centers.
- The adoption of M-NSM in Europe requires further investigation.
Purpose of the Study:
- To assess the current status and expert opinions on M-NSM in Europe.
- To identify barriers and facilitators for M-NSM implementation across European countries.
- To gather insights for the broader integration of M-NSM techniques.
Main Methods:
- An eight-question survey was distributed to surgical experts across six European countries.
- Data collection focused on the historical background and current use of M-NSM.
- Expert opinions were gathered from Italy, Spain, France, Switzerland, Belgium, and Poland.
Main Results:
- M-NSM is offered by a limited number of centers (1-9 per country) in Europe.
- Only four centers reported performing over 10 M-NSM procedures annually.
- National guidelines and healthcare providers in reported countries do not currently include M-NSM.
Conclusions:
- M-NSM is currently utilized by a select group of European surgeons.
- Significant obstacles to wider M-NSM adoption include high costs and lack of reimbursement.
- Establishing standardized training, collecting data, and demonstrating benefits are crucial for promoting M-NSM.
