Menopause Review
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eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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without publication fees
1/2025
vol. 24
 
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abstract:
Review paper

Minimal access nipple-sparing mastectomy – the current European landscape

Piotr Pluta
1
,
Gauthier Rathat
2
,
Lydia Blay
3
,
Oreste Davide Gentilini
4
,
Daniela Emanuela Huber
5
,
Martinez Daniel
6, 7
,
Peralta Guillermo
8
,
Younan Rami J.
9
,
Vergauwen Glenn
10
,
Toesca Antonio
11

  1. Department of Surgical Oncology and Breast Diseases, Polish Mother’s Memorial Hospital – Research Institute, Łódź, Poland
  2. Breast Surgery Unit, University Hospital, Montpellier, France
  3. Department of General Surgery, Germans Trias University Hospital, Barcelona, Spain
  4. Universita Vita-Salute San Raffaele – IRCCS Ospedale San Raffaele, Milan, Italy
  5. Department ofGynecology and Obstetrics, Centre Hospitalier du Valais Romand, Sion, Switzerland
  6. Department of Obstetrics and Gynecology, Hospital Universitario de Torrejón, Madrid, Spain
  7. School of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
  8. Breast Division, Cancer Center Tec 100, Breast Surgery Department Hospital H+, Queretaro, Mexico
  9. Department of Surgery, Surgical Oncology Division, University of Montreal Health Center (CHUM). Montreal, Quebec, Canada
  10. Department of Gynecology, Ghent University Hospital, Ghent, Belgium
  11. Division of Breast Surgical Oncology, Candiolo Cancer Institute, FPO-IRCCS, Candiolo (TO), Italy
Menopause Rev 2025; 24(1): 66-71
DOI: https://doi.org/10.5114/pm.2025.150082
Online publish date: 2025/05/03
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Minimal access nipple-sparing mastectomy (M-NSM), performed with endoscopic systems or with surgical robot assistance, is a novel alternative to the classic approach to nipple-sparing mastectomies. Leading advancements in M-NSM have primarily come from Asia. We gather experts’ opinions from six European countries to establish the current status of M-NSM in Europe. An eight-question survey was designed to explore M-NSM’s historical background and current standing in various local settings. We collected data from 6 European countries, including Italy, Spain, France, Switzerland, Belgium, and Poland. The number of centers offering M-NSM procedures in each reported country ranges 1–9. The number of procedures performed annually in four centers exceeds 10. In all reported countries, current national breast cancer recommendations do not include M-NSM, and this procedure is not explicitly covered by any of the national health care providers. All experts have indicated the need for training in M-NSM surgery as a primary way to incorporate these techniques as a standard procedure. Minimal access nipple-sparing mastectomy is still a tool used by a narrow group of specialists in Europe. The main obstacle to broader implementation remains the extra cost of M-NSM, which requires reimbursement from the health care providers. Training courses, data collection, and demonstration of its benefits are the key to promoting M-NSM among breast surgeons and patients.
keywords:

minimal access nipple-sparing mastectomy, robot-assisted nipple-sparing mastectomy, endoscopic nipple-sparing mastectomy, endoscopic mastectomy, robotic mastectomy

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