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Semin Plast Surg
DOI: 10.1055/a-2787-1828
Review Article

Robot-Assisted Mastectomy and Immediate Microsurgical Breast Reconstruction

Authors

  • Luccie M. Wo

    1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, United States
    2   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    3   College of Medicine, Chang Gung University, Taoyuan, Taiwan

  • Wen-Ling Kuo

    4   Breast Cancer Center, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    5   Department of General Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    6   School of Medicine, National Tsing Hua University, Hsinchu, Taiwan

  • David C-F. Cheong

    2   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    3   College of Medicine, Chang Gung University, Taoyuan, Taiwan
    4   Breast Cancer Center, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan

  • Chia-Fang Chen

    2   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    3   College of Medicine, Chang Gung University, Taoyuan, Taiwan
    4   Breast Cancer Center, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan

  • Jung-Ju Huang

    2   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    3   College of Medicine, Chang Gung University, Taoyuan, Taiwan
    4   Breast Cancer Center, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
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Abstract

Robot-assisted mastectomy has emerged as an evolving technique in breast cancer surgery, with its advantage of improved visualization, precise dissection, and favorable aesthetic outcomes through limited hidden access. With proper patient selection, this approach has facilitated nipple-sparing mastectomy with good aesthetic outcome while maintaining oncologic safety. As an aesthetic outcome is one essential component of developing robot-assisted mastectomy, immediate breast reconstruction has been adapted to integrate with the procedure. While implant-based reconstruction remains the most commonly utilized option, autologous breast reconstruction, although technically more demanding, can also be successfully performed with appropriate modifications and microsurgical expertise, providing durable aesthetic and functional outcomes. This article reviews current reconstructive options with autologous breast reconstruction following robot-assisted mastectomy, discusses technical considerations unique to robotic approaches, and emphasizes the importance of individualized, patient-centered decision-making in reconstructive planning.

Keywords

robot-assisted mastectomy - breast reconstruction - nipple-sparing mastectomy - implant-based reconstruction - autologous breast reconstruction


Publication History

Article published online:
02 February 2026

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