Indication for Mini-Invasive Video-Assisted Mastectomy

  title={Indication for Mini-Invasive Video-Assisted Mastectomy},
  author={Alberta Ferrari and Adele Sgarella and Sandro Zonta},
Nipple sparing mastectomy (NSM) can be considered a “bridge” between breast conserving surgery (BCS) and total mastectomy (M), so that clinical indications partially overlap those for the BCS/M filling the gap between demolitive and conservative surgery. It could be simply stated that NSM is the procedure of choice in case of early tumors not suitable for BCS, although the issue of indication is more complex and still in evolution. In fact, NSM has been widely accepted and used in clinical… 


Oncologic Safety of Skin-Sparing and Nipple-Sparing Mastectomy: A Discussion and Review of the Literature
The oncologic importance of margin status and type of mastectomy as it pertains to risk of local recurrence and relative need for adjuvant therapy is discussed.
Defining a Place for Nipple Sparing Mastectomy in Modern Breast Care: An Evidence Based Review
This article aims to critically review the indications and limitations of NSM, discuss evidence based intra‐operative protocols and to discuss ways in which radiation therapy may be incorporated in treatment planning following NSM.
Nipple-Sparing Mastectomy for Breast Cancer and Risk-Reducing Surgery: The Memorial Sloan-Kettering Cancer Center Experience
Although NSM is not standard, the experience supports the selective use of NSM in both prophylactic and malignant settings, as well as for therapeutic purposes.
Video-assisted total glandectomy and immediate reconstruction for breast cancer.
Outcomes after Total Skin-sparing Mastectomy and Immediate Reconstruction in 657 Breasts
In this large, high-risk cohort, TSSM was associated with low rates of NAC complications, nipple involvement, and locoregional recurrence.
Skin-Sparing Mastectomy with Conservation of the Nipple–Areola Complex and Autologous Reconstruction is an Oncologically Safe Procedure
In patients who are candidates for a mastectomy and tumors distant from the nipple, SSM with intraoperative frozen section of the NAC ground offers the opportunity of NAC conservation without increasing the risk of local recurrences.
Nipple sparing subcutaneous mastectomy: sixty-six months follow-up.
  • F. Caruso, M. Ferrara, G. Carillio
  • Medicine
    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • 2006
Early results of an endoscope-assisted subcutaneous mastectomy and reconstruction for breast cancer.
E-SMR is a new option that can provide an improved operative view and better cosmetic results for the treatment of breast cancer than with SMR, resulting in better cosmesis and increased patient satisfaction.