Robotic-Assisted Anastomosis in Orthoplastic Surgery: Preliminary Data.
Francesco MoriGiulio MenichiniFrancesco RizzoPaolo SassuMarco InnocentiPublished in: Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... (2024)
Sixteen microsurgical reconstructions using free flaps were performed, involving a total of 40 anastomoses on vessel calibres ranging from 0.6 mm to 2.5 mm. In each case, the anastomosis was executed with the assistance of the robotic platform, achieving a 100+% success rate in patent anastomoses, and no major complications occurred.Conclusion The Symani system has proven to be safe and reliable in performing microsurgical anastomoses. While this platform demonstrated successful in various vessel calibres, its most promising potential lies in anastomoses below the size of a millimetre. Larger patient cohorts and extended investigation periods will be essential to explore whether robotics in microsurgery offers advantages across all microsurgical procedures or should be reserved for selected cases.
Keyphrases
- breast reconstruction
- internal carotid artery
- minimally invasive
- high throughput
- case report
- coronary artery bypass
- risk factors
- electronic health record
- magnetic resonance imaging
- robot assisted
- computed tomography
- acute coronary syndrome
- surgical site infection
- machine learning
- percutaneous coronary intervention
- contrast enhanced