Minimal access nipple-sparing mastectomy-the current European landscape
Por:
Pluta, P, Rathat, G, Blay, L, Gentilini, OD, Huber, DE, Daniel, M, Glennermo, V, Rami, JY, Guillermo, P, Glenn, V and Antonio, T
Publicada:
1 ene 2025
Ahead of Print:
3 may 2025
Resumen:
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.
Filiaciones:
Pluta, P:
Polish Mothers Mem Hosp, Res Inst, Dept Surg Oncol & Breast Dis, Lodz, Poland
Rathat, G:
Univ Hosp, Breast Surg Unit, Montpellier, France
:
Germans Trias Univ Hosp, Dept Gen Surg, Barcelona, Spain
Gentilini, OD:
Univ Vita Salute San Raffaele, IRCCS Osped San Raffaele, Milan, Italy
Huber, DE:
Ctr Hosp Valais Romand, Dept Gynecol & Obstet, Sion, Switzerland
Daniel, M:
Hosp Univ Torrejon, Dept Obstet & Gynecol, Madrid, Spain
Univ Francisco Vitoria, Sch Med, Madrid, Spain
Rami, JY:
Univ Montreal Hlth Ctr CHUM, Dept Surg, Surg Oncol Div, Montreal, PQ, Canada
Guillermo, P:
Breast Surg Dept Hosp H, Canc Ctr Tec 100, Breast Div, Queretaro, Mexico
Glenn, V:
Ghent Univ Hosp, Dept Gynecol, Ghent, Belgium
Antonio, T:
IRCCS, FPO, Candiolo Canc Inst, Div Breast Surg Oncol, Candiolo, TO, Italy
Green Submitted, gold
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