Rademacher Nicole, Curwick Lauren A, Parker Catherine C
Department of Surgery, University of Alabama at Birmingham, Birmingham, AL USA.
Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL USA.
Curr Breast Cancer Rep. 2025;17(1):31. doi: 10.1007/s12609-025-00587-0. Epub 2025 Jul 11.
To evaluate and describe the current indications, implementation, operative techniques, and patient outcomes for robotic nipple sparing mastectomy (RNSM).
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.
Randomized control trials with longer follow up are needed to determine the oncologic safety of RNSM and drive the future direction of this procedure.
评估并描述机器人保乳乳房切除术（RNSM）的当前适应症、实施情况、手术技术及患者预后。
机器人保乳乳房切除术（NSM）已被证明是可行的。手术团队所需的学习曲线是可以克服的，但实施过程中存在障碍，包括与传统保乳乳房切除术（CNSM）相比成本更高、手术时间更长。实施RNSM时，发现患者满意度更高，围手术期结局即便没有改善也相似。然而，当前最关键的问题是缺乏长期肿瘤学结局。现有文献表明，RNSM和CNSM之间的短期肿瘤学结局没有显著差异。
需要进行更长时间随访的随机对照试验，以确定RNSM的肿瘤学安全性并推动该手术的未来发展方向。
