ArticleWorld journal of surgical oncology2019
Breast cancer robotic nipple sparing mastectomy: evaluation of several surgical procedures and learning curve.
Article in World journal of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 6 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Robotic versus conventional nipple-sparing mastectomy in early breast cancer: a systematic review and meta-analysis.BMC surgery · 2026Pooled it
- Feasibility and outcomes of single-incision robotic nipple-sparing mastectomy: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Oncological, surgical, and cosmetic outcomes of endoscopic versus conventional nipple-sparing mastectomy: meta-analysis.BJS open · 2025Pooled it
- Postoperative outcomes of minimally invasive versus conventional nipple-sparing mastectomy with prosthesis breast reconstruction in breast cancer: a meta-analysis.Journal of robotic surgery · 2024Pooled it
- The emerging role of robotics in plastic and reconstructive surgery: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Postoperative complications and surgical outcomes of robotic versus conventional nipple-sparing mastectomy in breast cancer: meta-analysis.The British journal of surgery · 2024Pooled it
- Robotic nipple-sparing mastectomy in breast cancer: current evidence, technical considerations, and clinical outcomes.Updates in surgery · 2026Review
- Comparative Study of Mastectomy Using Conventional Techniques, Multiport and Single-Port Robotic Surgical Systems.Cancer research and treatment · 2026Article
- The Realization of a Remote Robotic Breast Surgery.Surgical case reports · 2026Article
- Robotic-assisted technique in plastic and reconstructive surgery: Experience in Taiwan.Journal of hand and microsurgery · 2025Review
- Comparison of Surgical Outcomes in Robot-Assisted Nipple Sparing Mastectomy with Conventional Open Nipple Sparing Mastectomy: A Single Center Experience.Journal of clinical medicine · 2025Article
- Traction-assisted chest elevation (TRACE)-a novel technique for improving intraoperative ergonomics in endoscopic mastectomy.Journal of surgical case reports · 2025Article
- The Present and Future of Robotic Surgery in Breast Cancer and Breast Reconstruction.Journal of clinical medicine · 2025Review
- Article
- A Brief History and the Current State of Robotic Mastectomy: a Review.Current breast cancer reports · 2025Review
- Robotic-Assisted Nipple Sparing Mastectomy.Seminars in plastic surgery · 2023Review
- A Preliminary Experience of Endoscopic Total Mastectomy With Immediate Free Abdominal-Based Perforator Flap Reconstruction Using Minimal Incisions, and Literature Review.Journal of breast cancer · 2023Article
- Robot-Assisted Minimally Invasive Breast Surgery: Recent Evidence with Comparative Clinical Outcomes.Journal of clinical medicine · 2022Review
- Robotic Versus Conventional Nipple-Sparing Mastectomy With Immediate Breast Reconstruction.Frontiers in oncology · 2021Article
- Mastectomy with immediate breast reconstruction: Results of a mono-centric 4-years cohort.Annals of medicine and surgery (2012) · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies of robotic nipple sparing mastectomy (NSM) were reported. We report feasibility of robotic NSM and determine standard surgical procedure and learning curve threefold.
methodsA cohort of patients with robotic NSM for breast cancer was analyzed. Complications and post-operative hospitalization stay were reported. The same technic was used for all patients except for skin and nipple areolar complex (NAC) dissection. Differences between three surgical procedures of NAC dissection were analyzed: group 1, dissection with robotic scissors using coagulation; group 2, dissection with robotic scissors without coagulation; and group 3, dissection with non-robotic scissors and then robotic dissection. We explored possible effect of learning curve among patients from group 1 with the same surgical procedure.
resultsTwenty-seven NSM with immediate breast reconstruction for breast cancers, 22 invasive and 5 in situ, were performed, with robotic latissimus dorsi-flap (RLDF) only in 17 cases, RLDF and breast implant in 6 cases, and implant alone in 4 cases. Repartition according to 3 surgical procedure groups was 16, 5, and 6 patients. Mean time of surgery and anesthesia decrease according to groups 1 to 3. Among 16 patients from group 1, time of surgery and anesthesia decreased with learning curve. Post-operative hospitalization decreased from group 1 to 3. We reported a total of 11 complications, with significant difference between groups (10 for group 1). Skin complications were higher for group 1 in comparison with groups 2-3 (p = 0.02).
conclusionRobotic NSM can be performed with a brief learning. Standardized technique is proposed with non-robotic scissors superficial dissection and then dissection with robot.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.