Endoscopy assisted skin and nipple preserving mastectomy and immediate reconstruction with prepectoral implant. Prospective study for the evaluation of the feasibility and safety of the technique, quality of life and cosmetic aftermath. Promoter Code. VideoBreast-24.

Abstract

Skin-sparing or nipple-skin-sparing mastectomy (NSSM) with immediate reconstruction with a prepectoral implant is the procedure of choice for women with breast cancer or high risk for breast cancer who require a mastectomy. This procedure can be performed with endoscopic or robotic assistance, however, the complexity of the technique, the increase in surgical time and costs, as well as the lack of prospective studies with long-term follow-up have limited its implementation. The present study aims to evaluate the non-inferiority of NSSM with endoscopic support compared to open NSSM in terms of feasibility and safety of the technique, oncological safety and cosmetic sequelae.