Robot-Assisted Nipple-Sparing Mastectomy and Immediate Reconstruction with Prepectoral Tiloop-Enveloped Implant: A Case Report

Background: Robot-assisted nipple-sparing mastectomy is a step forward within the framework of endoscopic mammary surgery. Although its use is still limited to a few centres, the technique has been proved safe and reproducible. Purpose and Methods: This paper describes the first experience our centre had with robot-assisted nipple-sparing mastectomy, which was performed for prophylactic purposes using the Da Vinci Si robotic Surgical System. Result: This preliminary experience was very positive as to the accuracy of surgical manoeuvres thanks to the high quality of the 3D image; the demolition and reconstruction operations (carried out using a prepectoral implant covered with a Tiloop Bra synthetic mesh) were performed through a single axillary incision of just a few centimeters. Conclusion: The technical difficulties are undeniable, but the learning curves described in the literature are promising.