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. 2021 Nov 19;11:739144. doi: 10.3389/fonc.2021.739144

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Copyright © 2021 Lai, Chen, Lin, Lin, Lin, Chen and Kuo

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Development and trend of minimal access breast surgery over 2011–2020 from the principal investigator’s perspective. (A) Breast cancer operations performed per year according to conventional breast surgery (CBS) and minimal access (including endoscopic or robotic assisted) breast surgery (MABS). MABS increased gradually and became the mainstream of breast cancer operation. (B) Various nipple sparing mastectomy (NSM) operations performed per year. Following the sequences of conventional NSM, dual-areolar-axillary-incision 2D endoscopic assisted NSM (E-NSM), single-axillary-incision E-NSM, robotic assisted NSM (R-NSM), and single-port 3D videoscope-assisted E-NSM (3D E-NSM). (C) Trend of NSM with immediate breast reconstruction (IBR) during 2011–2020. Minimal access operation gradually became the dominant choices between patients receiving NSM+ IBR.