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History of the Mini-Invasive Video Assisted Breast Surgery: From East to West

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Nipple Sparing Mastectomy

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Abstract

Minimal access endoscopic techniques have transformed many fields of surgery through the provision of improved body cavity access, enhanced visualization via magnification, and minimization of tissue trauma. Breast cancer surgery, however, represents a major field of surgical oncology in which endoscopy has yet to be adopted in mainstream clinical practice. This may be due to the fact that breast surgery is inherently low morbidity, results in low levels of pain, and that breast tumors can commonly be accessed through small incisions [1]. Furthermore, the increasing use of oncoplastic techniques has enlarged the spectrum of indications for conservative treatments (breast conserving surgery: BCS), while breast reshape requires different breast skin incisions [2]. However, in cases where mastectomy is deemed necessary, a wide extensive incision is required which is detrimental to cosmesis and body image. Theoretically, if endoscopic mastectomy combined with immediate breast reconstruction could be proven as oncologically safe, there may be tremendous gains in terms of reducing surgical morbidity and improved esthetics.

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Authors and Affiliations

  1. Breast Unit, Fondazione IRCCS Policlinico San Matteo, P.le Golgi 19, 27100, Pavia, PV, Italy

    Alberta Ferrari

  2. General Surgery Unit I, Fondazione IRCCS Policlinico San Matteo, P.le Golgi 19, 27100, Pavia, PV, Italy

    Sandro Zonta

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  1. Alberta Ferrari
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  1. Fondazione IRCCS Pol. San Matteo, Pavia, Italy

    Alberta Ferrari

  2. Fondazione IRCCS Pol. San Matteo, Pavia, Italy

    Adele Sgarella

  3. Department of Surgery, Fondazione IRCCS Pol. San Matteo, Pavia, Italy

    Sandro Zonta

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Ferrari, A., Zonta, S. (2013). History of the Mini-Invasive Video Assisted Breast Surgery: From East to West. In: Ferrari, A., Sgarella, A., Zonta, S. (eds) Nipple Sparing Mastectomy. Springer, Milano. https://doi.org/10.1007/978-88-470-5334-2_1

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