Evidence map›Paper›PMID 41485766›Full record

ArticleJournal of breast cancer2025

Surgical Safety of Minimally Invasive Surgery Compared to Conventional Nipple-Sparing Mastectomy: A Meta-Analysis and Systematic Reviews.

Feng-Jun He, Jun-Hui Zhang, Tao Jin, Chen Cao

Abstract read
In one paragraph

Article in Journal of breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Feng-Jun HeDepartment of Thyroid and Breast Surgery, West China Fourth Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0003-0724-9581
Jun-Hui ZhangDepartment of Thyroid and Breast Surgery, West China Fourth Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0009-0001-8666-4400
Tao JinDepartment of General Surgery & Laboratory of Gastric Cancer, State Key Laboratory of Biotherapy, Collaborative Innovation Center of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0001-7644-1927
Chen CaoDepartment of Thyroid and Breast Surgery, West China Fourth Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0009-0000-2382-4991

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, endoscopy- and robot-assisted surgical techniques have been progressively incorporated into breast cancer treatment, leading to the enhancement of minimally invasive nipple-sparing mastectomy (M-NSM) procedure. To date, studies comparing the surgical complications, benefits, and drawbacks of M-NSM with those of conventional nipple-sparing mastectomy (C-NSM) remain sparse. Electronic searches of PubMed, Embase, and Web of Science databases were performed. Log-rank statistics were used to compare the effects of M-NSM and C-NSM on various outcomes and estimate first-event-rate risk ratio and 95% confidence interval (CI). This study evaluated surgical safety based on postoperative complication rate. Surgical safety was evaluated by calculating the incidence of postoperative complications following each surgical approach, including overall complications, ischemia/necrosis of the nipple-areola complex, hematoma, infection, and implant-related complications. Based on a meta-analysis of 7 studies involving 3,426 patients, the overall postoperative complication rate (relative risk [RR], 0.84; 95% CI, 0.72-0.97) and rate of nipple-areolar complex (NAC) necrosis (RR, 0.55; 95% CI, 0.32-0.97) for M-NSM were slightly lower than those for C-NSM. The surgical safety of M-NSM may be comparable to or even superior to that of C-NSM, but confirmation via high-quality randomized controlled studies is required.

Indexed as

Breast NeoplasmsMastectomy, SubcutaneousPostoperative Complications

Identifiers

PMID41485766
PMCPMC12768590

What OpenQuestion holds

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Registered trials

None linked

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.