Comparing Nipple and Skin Sensation After Three Types of Nipple-Sparing Mastectomy Surgery Using Conventional, Endoscopic, and Robotic Methods With Immediate Implant Reconstruction

What this Trial Is About

Researchers are studying how different surgical methods affect nipple and skin sensation after nipple-sparing mastectomy NSM in women. This study compares three types of NSM conventional open surgery, minimally invasive endoscopic surgery, and robotic-assisted surgery. The goal is to understand how much nipple sensation remains after each type and to evaluate surgery-related complications, patient-reported quality of life, body image, and tissue nerve structure. Participants will have one of the three NSM surgeries, followed by immediate breast reconstruction with an implant during the same operation. The conventional method involves a visible breast incision, the endoscopic method uses a small armpit incision with a camera and instruments, and the robotic method is performed through a small armpit incision with robotic assistance. Each participants nipple sensation will be tested before surgery and again at 1, 3, and 6 months after surgery using a device called the Semmes-Weinstein esthesiometer. During the study, participants will complete sensation tests and quality of life surveys at scheduled times. Tissue samples from surgery will be analyzed to explore the nerve structures related to sensation. Researchers will monitor surgical complications up to 3 months post-surgery. The study provides important data on physical and emotional outcomes to help improve care for women undergoing mastectomy and reconstruction.

A Comparative Study of Nipple Sensation Preservation After Nipple-Sparing Mastectomy With Conventional, Endoscopic, Robotic Techniques