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Verfasst von:Strübing, Felix [VerfasserIn]   i
 Bigdeli, Amir Khosrow [VerfasserIn]   i
 Böcker, Arne Hendrik [VerfasserIn]   i
 Weigel, Jonathan [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Gazyakan, Emre [VerfasserIn]   i
Titel:Hands-on robotic microsurgery
Titelzusatz:robotic-assisted free flap reconstruction of the upper extremity
Verf.angabe:Felix Struebing, Amir Khosrow Bigdeli, Arne Boecker, Jonathan Weigel, Ulrich Kneser and Emre Gazyakan
E-Jahr:2024
Jahr:6 December 2024
Umfang:8 S.
Fussnoten:Gesehen am 04.03.2025
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2024
Band/Heft Quelle:13(2024), 23, Artikel-ID 7450, Seite 1-8
ISSN Quelle:2077-0383
Abstract:Background/Objectives: Robot-assisted microsurgery (RAMS) has been introduced into the field of plastic surgery in recent years. It potentially offers enhanced precision and control compared to traditional methods, which is crucial for complex microvascular tasks in free flap reconstructions. We aim to analyze our experiences with robotic-assisted microsurgery in the field of upper extremity free flap reconstruction. Methods: This prospective study evaluated the efficacy and safety of the Symani Surgical System for free flap reconstructions in 16 patients with upper extremity defects at our institution from February 2023 to March 2024. Operating times were compared to a matched, historical cohort. We collected data on surgical outcomes, operative times, and complication rates, following strict adherence to the Declaration of Helsinki. Results: Our cohort primarily involved male patients (81%) with defects mostly located on the hand (81%). The anterolateral thigh flap was the most commonly used free flap (14/16, 88%). The average operative time was 368 ± 89 min (range: 216-550 min). No complete or partial flap losses were observed, but one flap required revision surgery due to arterial thrombosis. Major complications occurred in 13% of the cases. The average anastomosis time was 31 ± 12 min (range: 20-35 min) for arterial end-to-end anastomoses and 33 ± 13 min (range: 20-60 min) for arterial end-to-side anastomoses. Venous anastomoses required, on average, 20 ± 6 min. Operating times were not significantly longer when compared to the historical cohort (p = 0.67). Conclusions: We were able to show comparable outcomes to conventional microsurgery, while requiring more time for the microsurgical anastomoses. The study highlights the need for larger, controlled trials to better understand the benefits and limitations of robotic assistance in microsurgical reconstruction of the upper extremity.
DOI:doi:10.3390/jcm13237450
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/jcm13237450
 kostenfrei: Volltext: https://www.mdpi.com/2077-0383/13/23/7450
 DOI: https://doi.org/10.3390/jcm13237450
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:free flap reconstruction
 reconstructive microsurgery
 robotic microsurgery
 robotic-assisted microsurgery
 upper extremity
K10plus-PPN:1919042121
Verknüpfungen:→ Zeitschrift

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