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

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 t...

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Autores principales: Joo, Oh Young, Song, Seung Yong, Lew, Dae Hyun, Park, Hyung Seok, Lee, Dong Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627951/
https://www.ncbi.nlm.nih.gov/pubmed/34818702
http://dx.doi.org/10.5999/aps.2021.00710
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author Joo, Oh Young
Song, Seung Yong
Lew, Dae Hyun
Park, Hyung Seok
Lee, Dong Won
author_facet Joo, Oh Young
Song, Seung Yong
Lew, Dae Hyun
Park, Hyung Seok
Lee, Dong Won
author_sort Joo, Oh Young
collection PubMed
description 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.
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spelling pubmed-86279512021-12-06 Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction Joo, Oh Young Song, Seung Yong Lew, Dae Hyun Park, Hyung Seok Lee, Dong Won Arch Plast Surg Breast/Trunk 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. Korean Society of Plastic and Reconstructive Surgeons 2021-11 2021-11-15 /pmc/articles/PMC8627951/ /pubmed/34818702 http://dx.doi.org/10.5999/aps.2021.00710 Text en Copyright © 2021 The Korean Society of Plastic and Reconstructive Surgeons https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Breast/Trunk
Joo, Oh Young
Song, Seung Yong
Lew, Dae Hyun
Park, Hyung Seok
Lee, Dong Won
Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
title Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
title_full Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
title_fullStr Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
title_full_unstemmed Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
title_short Robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
title_sort robotic harvest of a latissimus dorsi flap using a single-port surgical robotic system in breast reconstruction
topic Breast/Trunk
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627951/
https://www.ncbi.nlm.nih.gov/pubmed/34818702
http://dx.doi.org/10.5999/aps.2021.00710
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