A Brief History and the Current State of Robotic Mastectomy: a Review.

IF 1 Q4 ONCOLOGY

Current Breast Cancer Reports Pub Date : 2025-01-01 Epub Date: 2025-07-11 DOI:10.1007/s12609-025-00587-0

Nicole Rademacher, Lauren A Curwick, Catherine C Parker

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引用次数: 0

Abstract

Purpose of review: To evaluate and describe the current indications, implementation, operative techniques, and patient outcomes for robotic nipple sparing mastectomy (RNSM).

Recent findings: The robotic approach to nipple-sparing mastectomies (NSM) has been shown to be feasible. The learning curve required by surgical teams can be overcome, but barriers to implementation exist, including higher cost and longer operative time compared to conventional nipple sparing mastectomies (CNSM). When performed, RNSM have been found to confer greater patient satisfaction and similar if not improved perioperative outcomes. However, the most critical current concern is the lack of long-term oncologic outcomes. The current available literature suggests short-term oncologic outcomes are not significantly different between RNSM and CNSM.

Summary: Randomized control trials with longer follow up are needed to determine the oncologic safety of RNSM and drive the future direction of this procedure.

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机器人乳房切除术的简史和现状：综述。

综述的目的：评估和描述目前机器人保留乳头乳房切除术（RNSM）的适应症、实施、手术技术和患者预后。最近的发现：机器人方法乳头保留乳房切除术（NSM）已被证明是可行的。手术团队所需的学习曲线可以克服，但实施的障碍存在，包括与传统的保留乳头乳房切除术（CNSM）相比，更高的成本和更长的手术时间。当实施RNSM时，已经发现患者满意度更高，如果没有改善围手术期结果，效果相似。然而，目前最关键的问题是缺乏长期的肿瘤预后。目前可用的文献表明，RNSM和CNSM的短期肿瘤预后没有显著差异。总结：需要更长随访时间的随机对照试验来确定RNSM的肿瘤学安全性，并推动该手术的未来发展方向。

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

Current Breast Cancer Reports ONCOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： This journal aims to review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of breast cancer. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those with the disease. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as prevention, systemic therapy, and translational research. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.