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

Figure 5.

Figure 5

Cost analysis of various nipple sparing mastectomy (NSM) and immediate prothesis implant breast reconstruction (IPBR). With the introduction of two-dimensional endoscopic assisted NSM (2D E-NSM) retraction-type technique, the cost increased slightly from 6,182 [conventional NSM (C-NSM)] to 6,664 USD (about 500 USD more). Shift to robotic assisted NSM (R-NSM) dramatically increased medical cost to 10,672 USD (about 4,000 USD more). Inspired from R-NSM, we started the single-port 3D endoscopic assisted NSM (E-NSM) program in August 2018, and quickly this procedure became popular due to balanced clinical outcome and medical cost (7,760 USD), in which nearly 3,000 USD could be saved when compared with R-NSM. Following the advances of various minimal access breast surgeries, the overall cost also increased parallelly. R-NSM almost doubled the cost of C-NSM, and by adopting 3D E-NSM, the cost decreased near 3,000 USD without compromising the cosmetic result.