- •Nipple-sparing mastectomy (NSM) allows to remove the entire gland preserving skin envelope and nipple-areola complex.
- •NSM is considered in breast cancer when a conserving approach cannot obtain adequate local control and good aesthetic results.
- •Higher BMI may cause longer operative times and increased risk of complications such as nipple-areola complex ischemia.
- •Repetitive performance of standardized tasks could enhance surgeon’s ability when he faces the challenge of the NSM.
Nipple-sparing mastectomy is used with increasing frequency in the multidisciplinary treatment of patients with operable breast cancer. This technique allows to remove the entire glandular tissue preserving the skin envelope and the nipple-areola complex. Common indications to nipple-sparing mastectomy include extensive or multicentric disease, inability to obtain clear surgical margins with breast conserving-surgery, large tumor size with respect to the breast size, as well as cases with contraindications for radiotherapy as well as patient preference. Higher body mass index may cause longer operative times and increased risk of complications such as nipple-areola complex and skin flap ischemia. Repetitive performance of standardized tasks could optimize oncological and aesthetic outcomes and increase the chance of success.
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Published online: January 07, 2020
Accepted: January 2, 2020
Received: December 30, 2019
© 2020 Elsevier Inc. All rights reserved.