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Chinese Journal of Breast Disease(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (01): 9-15. doi: 10.3877/cma.j.issn.1674-0807.2026.01.002

• Forum of Specialists • Previous Articles    

Clinical application of robotic technology in breast surgery

Kuo Chen1, Xiaowei Qi2, Dajiang Song3, Pengwei Lyu1,()   

  1. 1 Department of Breast Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
    2 Department of Breast and Thyroid Surgery, First Affiliated Hospital of Army Medical University, Chongqing 400038, China
    3 Department of Breast Oncology and Plastic Surgery, Hunan Cancer Hospital/ Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410008, China
  • Received:2025-10-26 Online:2026-02-01 Published:2026-02-13
  • Contact: Pengwei Lyu

Abstract:

The principal applications of robotic breast surgery include robotic nipple-sparing mastectomy (RNSM) with immediate reconstruction, robotic harvest of autologous tissue for breast reconstruction, single-port robotic breast-conserving surgery, and robotic axillary lymph node dissection. Overall, existing studies suggest that with appropriate patient selection and implementation by experienced teams, robotic breast surgery offers short-term safety and oncologic outcomes comparable to those of conventional techniques. Some researches indicate potential advantages in reducing nipple necrosis and major complications, improving incision concealment, and enhancing aesthetic satisfaction. However, its wider adoption remains constrained by high cost of equipments and consumables, longer setup and operative time, lack of haptic feedback, instrument interference in confined working spaces, and substantial training requirements. This article provides a systematic review of the clinical applications of robotic technology in breast surgery, outlining the evolution of related techniques and surgical platforms and summarizing the main procedures currently feasible in practice as well as the available evidence. In the future, with advances such as 5G-enabled telesurgery, domestic manufacturing, and the integration of dedicated breast robotic systems with AI-based imaging navigation, robotic surgery may further promote precise, minimally invasive and individualized approaches in breast surgery. Nevertheless, more high-quality multicenter studies with long-term follow-up are needed to validate durable oncologic outcomes and the robustness of functional and aesthetic benefits.

Key words: Breast neoplasms, Robotic surgery, Mastectomy, Breast reconstruction

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