Healthcare impact and surgical safety of endoscopic mastectomy in women with breast cancer or high-risk. Preliminary outcomes from the Video Breast-24 trial.

INTRODUCTION Skin and nipple-sparing mastectomy (NSSM) with immediate reconstruction has become the standard treatment for women requiring a mastectomy. The objective of this article is to describe endoscopic mastectomy (E-NSSM) and analyze the initial results after its implementation in terms of care impact and post-surgical complications.

PATIENT AND METHODS Preliminary results of the VideoBreast-24 in terms of safety and feasibility of the technique. VideoBreast-24 is a non-inferiority study that compares MPPP-E with immediate reconstruction with a polyurethane implant versus skin-sparing or skin-and-nipple mastectomy using the open technique (O-NSSM) performed within the framework of the PreQ-20 study.

RESULTS 60 E-NSSM were performed on 42 women, 92.9% of whom were oncological patients. The average surgery time was 213.7 minutes. The average implant volume is 322cc, with the largest volume being 545cc. There were no implant losses.

CONCLUSIONS Endoscopic mastectomy is a technique with a low incidence of postoperative complications, surgical reintervention and readmission. Surgical time is longer than that of open mastectomy, although it can be optimized once the learning curve has passed.