Endoscopy/Robotic Assisted Nipple Skin Sparing Mastectomy

Endoscopy/Robotic Assisted Nipple Skin Sparing Mastectomy and Inmediate Reconstruction With Prepectoral Implant. Prospective Study for the Evaluation of the Feasibility and Safety of the Technique, Quality of Life and Cosmetic Results

Non-inferiority study of video-assisted (endoscopic or robotic) skin- and nipple-sparing mastectomy compared to open mastectomy. The feasibility of the technique, oncological safety and cosmetic results will be studied.

Inclusion Criteria:

• Women who require a mastectomy and who do not require skin reduction or resection are included. Women with both breast cancer and those at high risk for breast cancer are included.

Exclusion Criteria:

• Sarcomas of the breast.
• Benign breast tumors.
• Prepectoral reconstruction with expansion.
• Impossibility to preserve the skin.
• Need for reduction pattern
• Inability to perform an MRI during follow-up (obesity, claustrophobia, etc.).
• Inability to complete the BREAST-Q™ questionnaire due to the patient's cognitive alterations.
• Refusal of the patient to participate in the study.