Erschienen in:
28.04.2021 | ASO Author Reflections
ASO Author Reflections: Single-Port Three-Dimensional (3D) Videoscope-Assisted Endoscopic Nipple-Sparing Mastectomy in Management of Breast Cancer
verfasst von:
Hung-Wen Lai, MD, PhD
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 12/2021
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Excerpt
Nipple-sparing mastectomy (NSM), which is increasingly performed in breast cancer patients without evidence of nipple–areolar complex (NAC) invasion, has been shown to result in a high rate of patient satisfaction and is associated with acceptable oncologic safety. Minimally invasive surgery has become the mainstream of such operations, and new surgical innovations in NSM, such as endoscopic-assisted nipple-sparing mastectomy (E-NSM) or robotic nipple-sparing mastectomy (R-NSM), are emerging and increasingly applied in surgical treatment of breast cancer.
1,
2 Three-dimensional (3D) imaging, which is a technical innovation available in endoscopic and laparoscopic surgery, has been shown to enhance depth perception and facilitate operations. This concept was successfully demonstrated in R-NSM, which apparently had a shorter learning curve than 2D E-NSM.
2 The single port and air-inflation system provided better space and spare the effort of retraction by assistant. We hypothesized that the adoption of a single-port air insufflation system and 3D videoscope would decrease the technical difficulty of conventional 2D single-incision/access E-NSM and published this innovative surgical concept in a short report.
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