Evidence map›Paper›PMID 42164688›Full record

ArticleGland surgery2026

Surgical technique of articulated instruments in endoscopic (ARTISTIC) mastectomy: bridging the gap in minimally invasive breast surgery.

Xiao Shuang Ling, Chi Wei Mok

Abstract read
In one paragraph

Article in Gland surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Xiao Shuang LingBreast Surgery Service, Department of Surgery, Changi General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0003-2233-9892
Chi Wei MokBreast Surgery Service, Department of Surgery, Changi General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0002-4244-7594

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive breast surgery (MIBS) has emerged as an important surgical option for patients with early-stage breast cancer, driven by growing emphasis on superior cosmetic outcomes, preservation of function, and improved quality of life. Endoscopic nipple- or skin-sparing mastectomy offers the advantages of hidden scars and reduced tissue trauma. However, when performed using conventional straight laparoscopic instruments (CLI), the procedure remains technically demanding because of restricted degrees of freedom, the fulcrum effect of trocar-based access, and suboptimal surgeon ergonomics. Robotic systems can overcome many of these limitations, but remain inaccessible to many institutions due to high capital costs, recurring consumables, and infrastructure requirements. Handheld articulating instruments (HAI), such as the Artisential

Indexed as

articulating instrumentsArtisentialEndoscopic mastectomyergonomicsminimally invasive breast surgery (MIBS)

Identifiers

PMID42164688
PMCPMC13184280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.