Nipple-Sparing Mastectomy with Immediate Breast Reconstruction: The Laterothoracic Approach without Robotic...

Area of Science:

• Surgical Oncology
• Breast Cancer Surgery
• Minimally Invasive Techniques

Background:

• Nipple-sparing mastectomy (NSM) is increasingly popular for its aesthetic and psychological benefits.
• Robot-assisted surgery with laterothoracic incisions improves cosmetic outcomes in NSM but faces adoption challenges.
• Limited accessibility and cost hinder widespread use of advanced NSM techniques.

Purpose of the Study:

• To present an innovative, non-robotic refinement of the nipple-sparing mastectomy (NSM) technique.
• To demonstrate a minimally invasive approach using a laterothoracic upper lateral mammary fold incision.
• To enhance scar concealment and improve cosmetic outcomes in NSM without robotic assistance.

Main Methods:

• Development of a novel laterothoracic upper lateral mammary fold incision for NSM.
• Utilized standard surgical instruments, avoiding the need for robotic assistance.
• Focused on achieving oncologic safety and superior aesthetic results.

Main Results:

• Successful implementation of a minimally invasive NSM technique using a laterothoracic incision.
• Demonstrated effective scar concealment within the mammary fold.
• Achieved oncologic safety comparable to traditional methods.

Conclusions:

• The refined laterothoracic incision technique offers a cost-effective and accessible alternative for nipple-sparing mastectomy.
• This approach enhances cosmetic outcomes and patient satisfaction without robotic assistance.
• The technique promotes wider adoption of advanced breast cancer surgical practices.