Consensus Statement on Robotic Nipple Sparing Mastectomy Expert Panel.

IF 2.2 4区医学 Q3 ONCOLOGY

Journal of Breast Cancer Pub Date : 2025-05-12 DOI:10.4048/jbc.2025.0030

Jai Min Ryu, Chi Wei Mok, Antonio Toesca, Hung-Wen Lai, Wen-Ling Kuo, Fiona Tsui-Fen Cheng, Seung Yong Song, Jeffrey Johnson, Hyukjai Shin, Hyung Seok Park

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引用次数: 0

Abstract

Purpose: Since the last consensus statement on robotic nipple-sparing mastectomy (RNSM) in 2019, this technique has gained popularity, with accumulating evidence supporting its feasibility and patient satisfaction. However, concerns regarding the technical challenges and patient selection persist. This study aimed to provide an updated consensus on RNSM.

Methods: An international panel of 10 expert surgeons was convened to develop a consensus covering six domains: indications, contraindications, technical considerations, patient counseling, outcome measures, and training. The panel was asked to vote on statements via two rounds of online surveys and a final in-person meeting at the Global Breast Cancer Conference in conjunction with the International Endoscopic and Robotic Breast Surgery Symposium. Consensus was defined as 80% agreement with each statement.

Results: A total of 53 statements with at least 80% agreement were generated after three rounds of voting. Most statements were updated from previous consensus statement. All experts agreed that the consensus statement serves as a set of expert recommendations for the successful and safe practice of robotic mastectomy but are not mandatory actions.

Conclusion: Although still evolving, RNSM is a promising technique representing the future of minimally invasive breast surgery. This international consensus statement offers expert recommendations for safe and effective RNSM practices.

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机器人乳头保留乳房切除术专家小组的共识声明。

自2019年关于机器人保留乳头乳房切除术（RNSM）的最后一次共识声明以来，该技术越来越受欢迎，越来越多的证据支持其可行性和患者满意度。然而，关于技术挑战和患者选择的担忧仍然存在。本研究旨在提供关于RNSM的最新共识。方法：召集了一个由10名外科专家组成的国际小组，就六个领域达成共识：适应症、禁忌症、技术考虑、患者咨询、结果测量和培训。该小组被要求通过两轮在线调查和全球乳腺癌会议与国际内窥镜和机器人乳房手术研讨会的最后一次面对面会议对声明进行投票。共识被定义为80%同意每个陈述。结果：经过三轮投票，共产生53条意见，同意率在80%以上。大多数声明是根据以前的协商一致声明修订的。所有专家一致认为，该共识声明可作为一组专家建议，以确保机器人乳房切除术的成功和安全，但不是强制性的行动。结论：虽然RNSM仍在发展中，但它是一种很有前途的技术，代表了乳房微创手术的未来。这份国际共识声明为安全有效的RNSM实践提供了专家建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Breast Cancer 医学-肿瘤学

CiteScore

3.80

自引率

4.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Breast Cancer (abbreviated as ''J Breast Cancer'') is the official journal of the Korean Breast Cancer Society, which is issued quarterly in the last day of March, June, September, and December each year since 1998. All the contents of the Journal is available online at the official journal website (http://ejbc.kr) under open access policy. The journal aims to provide a forum for the academic communication between medical doctors, basic science researchers, and health care professionals to be interested in breast cancer. To get this aim, we publish original investigations, review articles, brief communications including case reports, editorial opinions on the topics of importance to breast cancer, and welcome new research findings and epidemiological studies, especially when they contain a regional data to grab the international reader''s interest. Although the journal is mainly dealing with the issues of breast cancer, rare cases among benign breast diseases or evidence-based scientifically written articles providing useful information for clinical practice can be published as well.