Single incision for oncologic breast conserving surgery and sentinel node biopsy- another de-escalation strategy in breast surgery?

Single-incision for breast-conserving surgery through round block technique

“…Several respected institutions have promoted minimal-access breast surgery using a single incision for lumpectomy and SLN retrieval, and previous studies have demonstrated feasibility [7][8][9][10][11][12][13][14]. However, success rates for SLN retrieval varied between 90 and 100%, along with comparable complication and reoperation rates.…”

“…Clinical data on the single-incision approach for BCS is sparse [7][8][9][10][11][12][13][14]. To the best of our knowledge, this is the second study besides that published by Acea-Nebril et al which compares the single-incision approach with the conventional approach.…”

“…Therefore, phenomena such as axillary skin retraction, impaired shoulder movement, lymphoedema, or axillary neuralgia are not uncommon, and lead to impaired cosmetic outcome and quality of life. Recently, minimal-access breast surgery (MABS) has been promoted by several authors using a lateral, radial, inframammary, periareolar or axillary incision for both tumour resection and SLN retrieval [7][8][9][10][11][12][13]. Also, endoscopic, or robotic assisted breast surgery performed through minimal axillary or periareolar incisions shown an increasing trend in the field of MABS [14][15][16][17][18][19].…”