ArticlePlastic and reconstructive surgery. Global open2023
First-in-human Use of a Microsurgical Robotic System for Central Lymphatic Reconstruction.
Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Robotic-assisted lymphovenous anastomosis to treat periorbital lymphedema and systematic review of lymphatic reconstruction of face and neck lymphedema.Journal of robotic surgery · 2025Pooled it
- Systematic Review of Robotic-Assisted Peripheral and Central Lymphatic Surgery.Journal of surgical oncology · 2025Pooled it
- Robotic-assisted lymphatic surgery for lymphedema: Bibliometric mapping of an emerging reconstructive field.JPRAS open · 2026Review
- Learning curve for proficiency with a robotic microsurgical system: an In vitro study of young medical professionals.Surgery today · 2026Article
- The Current Landscape of Robotics in Lymphatic Supermicrosurgery: A Systematic Review.Archives of plastic surgery · 2026Article
- Microvascular Anastomoses and Beyond: Exploring the Role of Robotic Systems in Microneurosurgery.Journal of robotic surgery · 2026Review
- Advancing Robotic-assisted Microsurgery for Access to Deep Anatomical Structures.Plastic and reconstructive surgery. Global open · 2026Article
- Brain Drain for Brain Gain: Potential Applications of Robotic-assisted Lymphatic Microsurgery in the Management of Neurological Disorders.Plastic and reconstructive surgery. Global open · 2025Article
- Simulation and comparison of objectively graded microsurgery steps by using a microscope and Symani robotic system by young professionals.Journal of robotic surgery · 2025Article
- Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.Journal of robotic surgery · 2025Article
- Robotic assisted free flap reconstruction of the scalp using the SymaniActa neurochirurgica · 2025Article
- Comparative Evaluation of Major Robotic Systems in Microanastomosis Procedures: A Systematic Review of Current Capabilities and Future Potential.Brain sciences · 2024Review
- Robotic microsurgery for pediatric peripheral nerve surgery.Journal of robotic surgery · 2024Article
- Robotic-assisted Lymphovenous Anastomosis of the Central Lymphatic System.Plastic and reconstructive surgery. Global open · 2024Article
- Ideal suturing technique for robot-assisted microsurgical anastomoses.Journal of robotic surgery · 2024Article
- 100 anastomoses: a two-year single-center experience with robotic-assisted micro- and supermicrosurgery for lymphatic reconstruction.Journal of robotic surgery · 2024Article
- Microsurgical central lymphatic reconstruction-the role of thoracic duct lymphovenous anastomoses at different anatomical levels.Frontiers in surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Advances in the development of robotic systems have recently enabled the use of robotic technology in reconstructive lymphatic surgery. Although the advantages of microsurgical robots must be weighed carefully against the costs, their use may allow for smaller surgical approaches and easier access to anatomically deeper structures or even smaller vessels. We report on a case of a patient with central lymphatic dilation causing abdominal pain and severely reduced physical capacity. Sonography-assisted intranodal injection of indocyanine green allowed for localization of the lymphatic cyst and anastomosis with the left ovarian vein, applying robotic-assisted microsurgery for the first time on the central lymphatic system. Following the successful reconstruction of lymphatic drainage and decompression of the cyst, the patient reported a complete regression of her preoperative symptoms. From a surgical point of view, the Symani Surgical System improved precision and allowed significantly smaller surgical access. Considering the high morbidity and rarity of pathologies of the central lymphatic system, central lymphatic surgery is to date rarely performed. With improved precision and significantly smaller surgical access, robotic-assisted microsurgery has great potential to expand the treatment options for central lymphatic lesions.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.