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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...

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Assessing Perioperative Risk According to Surgical Route in Hysterectomy for Very Large Uteri.

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Surgical Treatment Experience of Intestinal Endometriosis.

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Office Hysteroscopy: Treating Intrauterine Pathology and Avoiding the Operating Room.

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Related Experiment Video

Updated: Jul 15, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Three Strategic Pillars for Implementing Endoscopic Nipple-Sparing Mastectomy.

Guillermo Gerardo Peralta Castillo1,2, Paulina Bajonero Canónico1,2, Ricardo Cavazos García3

  • 1Breast division, Hospital H+, Querétaro, Mexico. (Drs. Peralta Castillo and Bajonero Canónico).

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 22, 2026
PubMed
Summary

This study outlines a framework for safely implementing endoscopic mastectomy, a minimally invasive breast surgery technique. It details a structured approach for training and reproducibility, enabling wider adoption of this advanced procedure.

Keywords:
Breast oncologyEndoscopic mastectomyLearning curveMinimally invasive surgery

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Breast Cancer Treatment

Background:

  • Breast cancer surgery has evolved towards less invasive techniques like nipple-sparing mastectomy (NSM) and minimally invasive breast surgery (MIB).
  • Endoscopic and robotic MIB show promise in selected patients, particularly in high-volume centers.

Purpose of the Study:

  • To provide a structured framework for the safe implementation of endoscopic mastectomy.
  • To share the experience of a pioneering center in adopting this technique.

Main Methods:

  • A three-axis model was developed: clinical/oncologic foundations, technical standardization/logistics, and outcomes assessment/training.
  • Key components include patient selection, equipment checklists, standardized steps, and data capture plans.

Main Results:

  • A patient selection protocol, equipment checklist, and standardized technical steps were developed.
  • A plan for data capture and training was established for successful implementation.

Conclusions:

  • Endoscopic mastectomy can be safely implemented in a structured setting with specialized training and equipment.
  • This article provides a practical guide for centers looking to adopt endoscopic mastectomy.