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Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction

Authors :
Oh Young Joo
Seung Yong Song
Dae Hyun Lew
Hyung Seok Park
Dong Won Lee
Source :
Archives of Plastic Surgery, Vol 48, Iss 06, Pp 577-582 (2021)
Publication Year :
2021
Publisher :
Thieme Medical Publishers, Inc., 2021.

Abstract

Robot-assisted surgery is evolving to incorporate a higher number of minimally invasive techniques. There is a growing interest in robotic breast reconstruction that uses autologous tissue. Since a traditional latissimus dorsi (LD) flap leads to a long donor scar, which can be an unpleasant burden to patients, there have been many attempts to decrease the scar length using minimally invasive approaches. This study presents the case of a patient who underwent a robot-assisted nipple-sparing mastectomy followed by immediate breast reconstruction with an LD flap using a single-port robotic surgery system. With the assistance of a single-port robot, a simple docking process using a short and less visible incision is possible. Compared to multiport surgery systems, single-port robots can reduce the possibility of collision between robotic arms and provide a clear view of the medial border of the LD where the curvature of the back restricts the visual field. We recommend the use of single-port robots as a minimally invasive approach for harvesting LD flaps.

Details

Language :
English
ISSN :
22346163 and 22346171
Volume :
48
Issue :
06
Database :
Directory of Open Access Journals
Journal :
Archives of Plastic Surgery
Publication Type :
Academic Journal
Accession number :
edsdoj.795a3041b1e04d878469d67f0a81a0d0
Document Type :
article
Full Text :
https://doi.org/10.5999/aps.2021.00710