ReviewGland surgery2019
Evolution of minimal access breast surgery.
Review in Gland surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07292246 (A Prospective CohorT Study of HandX - Assisted ENdoscopic MAstectomy), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
A Prospective CohorT Study of HandX - Assisted ENdoscopic MAstectomy: Feasibility and Safety (ATHENA I Study)
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Oncological, surgical, and cosmetic outcomes of endoscopic versus conventional nipple-sparing mastectomy: meta-analysis.BJS open · 2025Pooled it
- Comparison of endoscopic breast-conserving surgery versus conventional breast-conserving surgery for the treatment of early-stage breast cancer: a meta-analysis.Frontiers in oncology · 2024Pooled it
- A systematic review of robotic breast surgery versus open surgery.Journal of robotic surgery · 2023Pooled it
- Minimal incision-assisted endoscopic versus conventional open breast-conserving surgery: A multicentre randomized clinical trial.Breast (Edinburgh, Scotland) · 2026Trial
- Five Decades of Innovation-Tailored Breast Cancer Treatment: 1976-2026.World journal of surgery · 2026Review
- Minimal-access Nipple-sparing Mastectomy With Prepectoral Direct-to-implant Breast Reconstruction Without Acellular Dermal Matrix or Synthetic Mesh.Plastic and reconstructive surgery. Global open · 2026Article
- Endoscopy‑assisted breast‑conserving treatment: the first Polish review of 30 patients.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026Article
- Single-Port Endoscopic Nipple-Sparing Mastectomy Using a Handheld Motorized Articulating System: Technical Description and Initial Outcomes.Annals of surgical oncology · 2026Article
- ASO Author Reflections: Enhancing Technical Reproducibility and Ergonomics in Single-Port Endoscopic Nipple-Sparing Mastectomy.Annals of surgical oncology · 2026Article
- Single axillary incision for minimal access (endoscopic or robotic-assisted) nipple sparing mastectomy: axillary crease or lateral chest wall incision?Journal of robotic surgery · 2026Article
- Review
- Establishing a standardized robotic approach for technetium-99 m-defined sentinel lymph node dissection with indocyanine green-guided navigation in da Vinci Xi & SP system.Journal of robotic surgery · 2026Article
- Robotic-assisted technique in plastic and reconstructive surgery: Experience in Taiwan.Journal of hand and microsurgery · 2025Review
- Personalized Surgical Strategies in Breast Cancer: Preliminary Evaluation of the AlexisJournal of clinical medicine · 2025Article
- Air-Assisted Mastectomy Using LigaSure for a Breast Cancer Patient With a Cardiac Pacemaker.European journal of breast health · 2025Article
- Traction-assisted chest elevation (TRACE)-a novel technique for improving intraoperative ergonomics in endoscopic mastectomy.Journal of surgical case reports · 2025Article
- Minimal access nipple-sparing mastectomy - the current European landscape.Przeglad menopauzalny = Menopause review · 2025Review
- Use of artificial intelligence in breast surgery: a narrative review.Gland surgery · 2024Review
- Usefulness of cordless ultrasonic cutting energy devices in endoscopic nipple-sparing mastectomy: a retrospective study.Annals of surgical treatment and research · 2024Article
- Single-Port Three-Dimensional Endoscopic-Assisted Axillary Lymph Node Dissection (S-P 3D E-ALND): Surgical Technique and Preliminary Results.The breast journal · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Surgical management of breast cancer has been evolving rapidly over the past 20-30 years. Prior to this, conventional surgical options were limited to either a mastectomy or breast conserving surgery. The demand for better aesthetic outcomes had driven the development of oncoplastic breast conserving surgery where glandular rearrangement or replacement coupled with thoughtfully placed incisions became the standard approach to breast conserving surgery. As breast surgeons and patients demand for improved aesthetic outcomes, minimally invasive or minimal access breast surgery has gained much attention over the past two decades, from endoscopic assisted to robotic-assisted breast surgery more recently. However, there has been a lack of review articles discussing this relatively recent but under-reported subset of surgical techniques in the management of breast cancer. This article aims to discuss the concept and development of minimal access breast surgery along with a review of current literature on its indications, techniques and outcome measures as well as a discussion on the strengths, limitations as well as future directions. Continued improvement in techniques and advancement of technology will definitely increase the likelihood of minimal access techniques being placed as the standard of care in the management of breast cancer.
Indexed as
Identifiers
What OpenQuestion holds
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.