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Robotic-Assisted Mastectomy

Robotic-assisted mastectomy is a state-of-the-art surgical technique that combines the precision of minimally invasive surgery with advanced robotic technology. It allows the removal of breast tissue through small, well-concealed incisions, offering improved visualisation for the surgeon and excellent cosmetic results for the patient.

 

At Apollo Athenaa Women’s Cancer Centre, robotic-assisted mastectomy is offered in selected cases of early-stage breast cancer and risk-reducing surgery. This approach is ideal for women seeking minimal visible scarring, preserved anatomy, and seamless integration with immediate breast reconstruction.

 

How the Procedure Is Performed

  • The surgery is performed under general anesthesia.
  • A small incision is made in the armpit or under the breast is made to conceal scars and access the surgical field.
  • Using the robotic surgical system, instruments are inserted through keyhole ports.
  • Using 3D visualisation and precise robotic arms, the surgeon dissects and removes the entire breast tissue, preserves the skin envelope, and if suitable, the nipple–areola complex.
  • Sentinel lymph node biopsy or axillary dissection may be performed through the same incision.
  • Immediate breast reconstruction (implant or flap-based) is usually done in the same sitting.
  • The cuts are closed meticulously to ensure minimal scarring.
  • Total surgery time typically ranges from 4 to 6 hours, depending on reconstruction complexity.

 

Recovery

  • Hospital stay: Most patients are discharged within 1–2 days. Drains may be placed to prevent fluid accumulation and are usually removed within 5–10 days.
  • Pain management: Post-operative pain is typically mild due to the minimally invasive approach.
  • Resuming routine: Light activity can resume within a week; full recovery typically takes 3–4 weeks.
  • Follow-up care: Follow-ups include wound checks, drain monitoring, and physical therapy support.

 

Key Advantages

  • Minimal scarring, with incisions in the axilla or under the breast fold
  • Improved surgical precision, aided by 3D visualisation and robotic dexterity
  • Excellent cosmetic outcomes, particularly when paired with nipple- or skin-sparing mastectomy
  • Lower postoperative discomfort and quicker return to daily activities
  • Preserves chest wall integrity, supporting better reconstruction and body image

 

Continuum of Care

Robotic-assisted mastectomy at Apollo Athenaa is part of a personalised, team-based approach that prioritises both safety and aesthetic outcomes. Patients receive:

  • Pre-surgical imaging and eligibility assessment by the tumour board
  • Multidisciplinary planning, including plastic and breast reconstructive surgeons
  • Intraoperative frozen section analysis, if nipple-sparing is attempted
  • Post-surgical support, including physiotherapy, counselling, and detailed scar care
  • Adjuvant therapy planning, where indicated by final pathology
  • Long-term follow-up, focusing on healing, surveillance, and emotional recovery

 

At Apollo Athenaa, robotic-assisted mastectomy reflects our commitment to future-forward cancer care, combining cutting-edge technology with thoughtful healing.

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