Bridging Technology: Endoscopic Nipple-Sparing Mastectomy Using SOLOASSIST II® Robotic Arm

The surgical management of malignant breast tumors has undergone significant evolution. There is an increasing need to adopt less traumatic and aggressive procedures, favoring minimally invasive techniques that provide oncologically safe outcomes, superior cosmetic results, and fewer complications-particularly through endoscopic and robotic approaches.

We present the case of a 48-year-old female with no relevant medical history, in whom multiple suspicious lesions were detected in the left breast during routine screening. Histopathological evaluation confirmed an infiltrating lobular carcinoma, luminal B subtype. Following a favorable response to neoadjuvant chemotherapy, a skin- and nipple-sparing endoscopic mastectomy was performed, assisted by a robotic arm that holds the camera, with immediate reconstruction.

Skin- and nipple-sparing surgery aims to provide optimal local disease control, improve cosmetic outcomes, and reduce complication rates. Minimally invasive techniques, whether endoscopic or robotic, can be combined safely and effectively to achieve these goals, as demonstrated in this case, which resulted in excellent cosmetic outcomes and no postoperative complications.