Evidence map›Paper›PMID 42725258›Full record

ArticleGland surgery2026

Robotic nipple-sparing mastectomy after periareolar incision: a surgical technical approach to subareolar dissection in a previously operated field.

Toshikatsu Nitta, Jun Okuno, Kosei Kimura, Kae Nishihara, Yurika Sugano, Ayumi Tsujino, Yuko Takashima, Tomo Ayukawa, Masatsugu Ishii, Atsushi Takeshita and 2 more

Abstract read
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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

12 authors.

Toshikatsu NittaDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0001-6813-9584
Jun OkunoDepartment of Breast and Endocrine Surgery, Osaka International Cancer Center, Osaka, Japan.
Kosei KimuraDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Kae NishiharaDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Yurika SuganoDepartment of Breast and Endocrine Surgery, Osaka International Cancer Center, Osaka, Japan.
Ayumi TsujinoDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Yuko TakashimaDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Tomo AyukawaDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Masatsugu IshiiDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Atsushi TakeshitaDepartment of Pathology, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Takashi IshibashiDivision of Surgery, Breast Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
Mitsuhiko IwamotoDepartment of Breast Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nipple-sparing mastectomy (NSM) after a prior periareolar incision is technically demanding because fibrosis, altered tissue planes, and possible vascular compromise around the nipple-areola complex (NAC) may increase the difficulty of subareolar dissection. Although robotic nipple-sparing mastectomy (R-NSM) has been reported as a minimally invasive option, its specific role in re-operative subareolar fields remains uncertain. This surgical technical report describes R-NSM performed with the da Vinci Xi system in a 51-year-old woman who previously underwent diagnostic lumpectomy through a periareolar incision for atypical ductal hyperplasia, followed by an indication for additional resection after ductal carcinoma in situ with microinvasion was identified. A 3.5-cm mid-axillary incision was used for access with a GelPOINT Mini platform. The key technical elements were lateral access without reopening the periareolar incision, low-pressure CO

Indexed as

da Vinci XiNipple-sparing mastectomy (NSM)robotic surgery

Identifiers

PMID42725258
PMCPMC13561591

What OpenQuestion holds

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Registered trials

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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.