Comprehensive Surgical Treatment of Breast Cancer by Minimally Invasive Surgery

Abstract

Introduction: The skin and nipple sparing mastectomy is a technique currently on the rise. It arises for the treatment of benign breast lesions; but with the high worldwide incidence of breast cancer, it is used in risk-reducing surgery and breast cancer. In this perspective, numerous technical modifications are described for the minimally invasive surgical approach through low visibility accesses in breast cancer surgery. Objective: To present a technical modification for the Skin-Sparing Modified Radical Mastectomy with preservation of the nipple areola complex and immediate reconstruction with implants by Minimally Invasive Surgery. Methods: We present three patients with left breast cancer operated on for Skin-Sparing Left Modified Radical Mastectomy with preservation of the nipple areola complex and immediate reconstruction with placement of retropectoral implants by minimally invasive surgery through a single periareolar incision. Results: Skin-Sparing Left Modified Radical Mastectomy was performed with preservation of the nipple areola complex and immediate reconstruction with retropectoral prosthesis by minimally invasive surgery in three patients. The evolution was favorable, with good clinical and aesthetic results, without complications and with a high degree of satisfaction according to the international Breast Q scale. Conclusion: Minimally invasive surgery with single periareolar access is safe and effective for Skin-Sparing Radical Mastectomy with preservation of the nipple areola complex, as well as the axilla approach and immediate reconstruction with the placement of retropectoral breast implants.