Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years

ObjectiveEndoscopic assisted breast surgery (EABS) or robotic assisted breast surgery (RABS) performed through minimal axillary and/or peri-areolar incisions has become the representative of minimal access breast surgery (MABS). We report the trend and clinical outcome of MABS for treatment of breas...

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Autores principales:	Hung-Wen Lai, Shou-Tung Chen, Ying-Jen Lin, Shih-Lung Lin, Ching-Min Lin, Dar-Ren Chen, Shou-Jen Kuo
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	endoscopy-assisted breast surgery (EABS) conventional breast surgery (CBS) endoscopy-assisted breast conserving surgery (E-BCS) endoscopic assisted nipple sparing mastectomy (E-NSM) robotic assisted nipple sparing mastectomy (R-NSM) single-port three-dimensional videoscope-assisted endoscopic nipple sparing mastectomy (3D E-NSM) Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/763d2b8ef9e54d25b6fd4bb35e71a6d9
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spelling	oai:doaj.org-article:763d2b8ef9e54d25b6fd4bb35e71a6d92021-11-19T06:36:45ZMinimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years2234-943X10.3389/fonc.2021.739144https://doaj.org/article/763d2b8ef9e54d25b6fd4bb35e71a6d92021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.739144/fullhttps://doaj.org/toc/2234-943XObjectiveEndoscopic assisted breast surgery (EABS) or robotic assisted breast surgery (RABS) performed through minimal axillary and/or peri-areolar incisions has become the representative of minimal access breast surgery (MABS). We report the trend and clinical outcome of MABS for treatment of breast cancer.MethodsInformation on patients who underwent breast cancer operation by the principal investigator during the period of 2011 to 2020 was collected from a single institute for analysis. The clinical outcome, trend, and cost of MABS were analyzed and compared with conventional breast surgery (CBS).ResultsA total of 824 breast cancer patients operated by a single surgeon were enrolled in this study: 254 received CBS and 570 received MABS, namely, 476 EABS and 94 RABS. From 2011 to 2020, the number of MABS performed annually has shown an increasing trend. Compared with CBS, MABS such as breast conserving surgery and nipple sparing mastectomy (NSM) have effectively reduced wound scar length. Since the sequential uprise from conventional NSM (C-NSM), dual-axillary-areolar-incision two dimensional (2D) endoscopic assisted NSM (E-NSM), single-axillary-incision E-NSM, robotic assisted NSM (R-NSM), and single-port 3D E-NSM, the development of minimal access mastectomies increasingly paralleled with NSM. The operation time of various MABS decreased significantly and showed no statistical difference compared with CBS. R-NSM was associated with highest cost, followed by 3D E-NSM, E-NSM, and C-NSM. The positive surgical margin rate and local recurrence rate of MABS and CBS were not statistically different.ConclusionMABS showed comparable clinical outcome and preliminary oncologic safety as CBS and has been increasingly performed as the surgical treatment of breast cancer, especially minimal access NSM.Hung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiHung-Wen LaiShou-Tung ChenShou-Tung ChenShou-Tung ChenYing-Jen LinShih-Lung LinChing-Min LinChing-Min LinDar-Ren ChenDar-Ren ChenDar-Ren ChenShou-Jen KuoShou-Jen KuoShou-Jen KuoFrontiers Media S.A.articleendoscopy-assisted breast surgery (EABS)conventional breast surgery (CBS)endoscopy-assisted breast conserving surgery (E-BCS)endoscopic assisted nipple sparing mastectomy (E-NSM)robotic assisted nipple sparing mastectomy (R-NSM)single-port three-dimensional videoscope-assisted endoscopic nipple sparing mastectomy (3D E-NSM)Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endoscopy-assisted breast surgery (EABS) conventional breast surgery (CBS) endoscopy-assisted breast conserving surgery (E-BCS) endoscopic assisted nipple sparing mastectomy (E-NSM) robotic assisted nipple sparing mastectomy (R-NSM) single-port three-dimensional videoscope-assisted endoscopic nipple sparing mastectomy (3D E-NSM) Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	endoscopy-assisted breast surgery (EABS) conventional breast surgery (CBS) endoscopy-assisted breast conserving surgery (E-BCS) endoscopic assisted nipple sparing mastectomy (E-NSM) robotic assisted nipple sparing mastectomy (R-NSM) single-port three-dimensional videoscope-assisted endoscopic nipple sparing mastectomy (3D E-NSM) Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Shou-Tung Chen Shou-Tung Chen Shou-Tung Chen Ying-Jen Lin Shih-Lung Lin Ching-Min Lin Ching-Min Lin Dar-Ren Chen Dar-Ren Chen Dar-Ren Chen Shou-Jen Kuo Shou-Jen Kuo Shou-Jen Kuo Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years
description	ObjectiveEndoscopic assisted breast surgery (EABS) or robotic assisted breast surgery (RABS) performed through minimal axillary and/or peri-areolar incisions has become the representative of minimal access breast surgery (MABS). We report the trend and clinical outcome of MABS for treatment of breast cancer.MethodsInformation on patients who underwent breast cancer operation by the principal investigator during the period of 2011 to 2020 was collected from a single institute for analysis. The clinical outcome, trend, and cost of MABS were analyzed and compared with conventional breast surgery (CBS).ResultsA total of 824 breast cancer patients operated by a single surgeon were enrolled in this study: 254 received CBS and 570 received MABS, namely, 476 EABS and 94 RABS. From 2011 to 2020, the number of MABS performed annually has shown an increasing trend. Compared with CBS, MABS such as breast conserving surgery and nipple sparing mastectomy (NSM) have effectively reduced wound scar length. Since the sequential uprise from conventional NSM (C-NSM), dual-axillary-areolar-incision two dimensional (2D) endoscopic assisted NSM (E-NSM), single-axillary-incision E-NSM, robotic assisted NSM (R-NSM), and single-port 3D E-NSM, the development of minimal access mastectomies increasingly paralleled with NSM. The operation time of various MABS decreased significantly and showed no statistical difference compared with CBS. R-NSM was associated with highest cost, followed by 3D E-NSM, E-NSM, and C-NSM. The positive surgical margin rate and local recurrence rate of MABS and CBS were not statistically different.ConclusionMABS showed comparable clinical outcome and preliminary oncologic safety as CBS and has been increasingly performed as the surgical treatment of breast cancer, especially minimal access NSM.
format	article
author	Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Shou-Tung Chen Shou-Tung Chen Shou-Tung Chen Ying-Jen Lin Shih-Lung Lin Ching-Min Lin Ching-Min Lin Dar-Ren Chen Dar-Ren Chen Dar-Ren Chen Shou-Jen Kuo Shou-Jen Kuo Shou-Jen Kuo
author_facet	Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Hung-Wen Lai Shou-Tung Chen Shou-Tung Chen Shou-Tung Chen Ying-Jen Lin Shih-Lung Lin Ching-Min Lin Ching-Min Lin Dar-Ren Chen Dar-Ren Chen Dar-Ren Chen Shou-Jen Kuo Shou-Jen Kuo Shou-Jen Kuo
author_sort	Hung-Wen Lai
title	Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years
title_short	Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years
title_full	Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years
title_fullStr	Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years
title_full_unstemmed	Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years
title_sort	minimal access (endoscopic and robotic) breast surgery in the surgical treatment of early breast cancer—trend and clinical outcome from a single-surgeon experience over 10 years
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/763d2b8ef9e54d25b6fd4bb35e71a6d9
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Minimal Access (Endoscopic and Robotic) Breast Surgery in the Surgical Treatment of Early Breast Cancer—Trend and Clinical Outcome From a Single-Surgeon Experience Over 10 Years

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