{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:05:53Z","timestamp":1784077553491,"version":"3.55.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":126,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic breast-conserving surgery (EBCS) aims to offer improved cosmetic outcomes while maintaining oncologic safety. Although well established in East Asian programs\u00b9\u207b\u00b3, its use remains uncommon in India\u2074. This pilot feasibility series describes early Indian experience with EBCS and sentinel lymph node biopsy (SLNB) performed entirely through a single concealed axillary incision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three consecutive women with biopsy-proven, clinically node-negative early invasive carcinoma underwent single-incision EBCS with SLNB between January and March 2025. The technique used CO\u2082 insufflation, a glove-port system, and ultrasonic dissection. Primary outcomes included operative parameters, margin status, sentinel node retrieval, and perioperative complications. Secondary outcomes were seroma, drain duration, pain scores, recovery milestones, and cosmetic satisfaction using a 5-point Likert scale. Follow-up was recorded individually for each patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All cases were completed endoscopically without conversion. Mean operative time was 145\u00a0min (range 130\u2013160), and blood loss averaged 60\u00a0ml. Margins were negative in all three patients. One minor seroma resolved with conservative management. No wound infections, skin necrosis, dimpling, or lymphedema occurred. At a median follow-up of nine months, all patients remained disease-free. Cosmetic satisfaction was high (average Likert 4.6\/5), with preserved breast contour and no visible deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Single-incision EBCS with SLNB is feasible, safe, and cosmetically favourable in selected Indian patients offering oncologic adequacy. While early outcomes are reassuring, larger series, longer follow-up, and validated PROMs such as BREAST-Q are required to better define the technique\u2019s role in routine oncologic practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-025-03446-y","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:33:19Z","timestamp":1773217999000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Technical feasibility and short-term outcomes of single-incision endoscopic breast-conserving surgery with sentinel lymph node biopsy: initial Indian experience"],"prefix":"10.1186","volume":"26","author":[{"given":"Pon Jeeva","family":"Mathan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshavarajan","family":"Gandhirajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagadesh Chandra","family":"Bose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"3446_CR1","doi-asserted-by":"publisher","first-page":"1419123","DOI":"10.3389\/fonc.2024.1419123","volume":"14","author":"L Li","year":"2024","unstructured":"Li L, Liang Y, Li C, et al. Comparison of endoscopic breast-conserving surgery versus conventional breast-conserving surgery for early-stage breast cancer: a meta-analysis. Front Oncol. 2024;14:1419123. https:\/\/doi.org\/10.3389\/fonc.2024.1419123.","journal-title":"Front Oncol"},{"issue":"10","key":"3446_CR2","doi-asserted-by":"publisher","first-page":"7591","DOI":"10.1007\/s00464-023-10000-0","volume":"37","author":"ZH Wang","year":"2023","unstructured":"Wang ZH, Gang TR, Wu SS, et al. Single-port endoscopic Sentinel lymph node biopsy combined with indocyanine green and carbon nanoparticles in breast cancer. Surg Endosc. 2023;37(10):7591\u20139. https:\/\/doi.org\/10.1007\/s00464-023-10000-0.","journal-title":"Surg Endosc"},{"issue":"8","key":"3446_CR3","doi-asserted-by":"publisher","first-page":"1446","DOI":"10.1016\/j.ejso.2020.03.222","volume":"46","author":"HW Lai","year":"2020","unstructured":"Lai HW, Mok CW, Chang YT, et al. 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World J Surg Oncol. 2022;20:335. https:\/\/doi.org\/10.1186\/s12957-022-02798-6.","journal-title":"World J Surg Oncol"},{"key":"3446_CR6","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1186\/s12957-023-03255-0","volume":"21","author":"CLK Chia","year":"2023","unstructured":"Chia CLK, Sae-lim C, Lai HW, et al. Single-port three-dimensional endoscopic-assisted breast surgery: preliminary results and patient satisfaction. World J Surg Oncol. 2023;21:335. https:\/\/doi.org\/10.1186\/s12957-023-03255-0.","journal-title":"World J Surg Oncol"},{"issue":"1","key":"3446_CR7","doi-asserted-by":"publisher","first-page":"383","DOI":"10.3233\/BD-230024","volume":"42","author":"A Patrianagara","year":"2023","unstructured":"Patrianagara A, Yen Hwe L. Endoscopy-assisted breast-conserving surgery versus conventional breast-conserving surgery: a meta-analysis. 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All procedures involving human participants were performed in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Declaration of Helsinki and its later amendments. Written informed consent was obtained from all participants.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written patient consent for anonymized data\/images provided.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"472"}}