Healthcare impact and surgical safety of endoscopic mastectomy in women with breast cancer or high-risk. Preliminary outcomes from the VideoBreast-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 min. 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.