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Updated: May 11, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Experience-Based Procedure Card for Robot-Assisted Nipple Sparing Mastectomy Using the SSI Mantra, Indian Robotic
Somashekhar Sp1, Medha Sugara2, Ashwin Kr1
1Department of Surgical Oncology, Aster International Institute of Oncology, Aster Hospital, Bengaluru, Karnataka 560092 India.
Indian robotic surgical system SSI MANTRA™ feasibility for robot-assisted nipple sparing mastectomy (RANSM) in early breast cancer was demonstrated. This innovative approach offers a new option for breast cancer surgery.
Area of Science:
- Robotic surgery
- Surgical oncology
- Breast cancer treatment
Background:
- The SSI MANTRA™ is an Indian robotic surgical system used for complex abdominal and thoracic procedures.
- Robot-assisted nipple sparing mastectomy (RANSM) typically uses the da Vinci system and a confined working space within the breast tissue.
Purpose of the Study:
- To evaluate the feasibility of performing RANSM using the Indian SSI MANTRA™ robotic surgical system.
- To describe the case selection, docking, and surgical technique for RANSM with the SSI MANTRA™.
Main Methods:
- A case of early breast cancer underwent RANSM using the SSI MANTRA™ robotic surgical system.
- Detailed description of patient selection, robotic system docking, and the surgical procedure.
Main Results:
- The RANSM procedure was successfully performed using the SSI MANTRA™ system.
- The system was found to be feasible for this specific breast cancer surgery.
Conclusions:
- Robot-assisted nipple sparing mastectomy (RANSM) is feasible using the Indian SSI MANTRA™ robotic surgical system.
- This study introduces a novel application of the SSI MANTRA™ for breast cancer surgery.
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