ArticlePlastic and reconstructive surgery. Global open2024
Using a Microsurgical Robotic Platform for In-flap Anastomosis in Autologous Bipedicular Breast Reconstruction.
Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Expanding the Role of Robot-assisted Microsurgery: Implementation, Challenges, and Outlook From a High-volume Tertiary Care Center.Plastic and reconstructive surgery. Global open · 2026Article
- Redefining Reconstruction: Technological Innovations in Microsurgical Breast Reconstruction.Cancers · 2025Review
- Robotic-assisted Supermicrosurgery in Plastic Surgery: A Systematic Literature Review.Plastic and reconstructive surgery. Global open · 2025Article
- Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.Journal of robotic surgery · 2025Article
- The Present and Future of Robotic Surgery in Breast Cancer and Breast Reconstruction.Journal of clinical medicine · 2025Review
- Robot-assisted microsurgery: a single-center experience of 100 cases.Journal of robotic surgery · 2024Article
- Comparative Evaluation of Major Robotic Systems in Microanastomosis Procedures: A Systematic Review of Current Capabilities and Future Potential.Brain sciences · 2024Review
- Ideal suturing technique for robot-assisted microsurgical anastomoses.Journal of robotic surgery · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Autologous microsurgical breast reconstruction has become a standard of care. As techniques become more individualized and aim for less-invasive approaches, vessels ever smaller in diameter are considered for flap anastomosis. Robot-assisted surgery has great potential to reduce tremor and enhance precise motion. The Symani Surgical System (Medical Microinstruments, Inc., Wilmington, Del.) is a robotic platform designed for microsurgery. It was used for a microsurgical in-flap anastomosis of a bipedicular deep inferior epigastric artery flap for unilateral breast reconstruction. The procedure included fully robot-assisted anastomoses with significant size mismatches using a 3D-exoscope for magnification. Arterial and venous anastomoses were entirely robot-assisted completed in 23 minutes (seven stitches) and 28 minutes (eight stitches) using 9/0 nylon sutures. The intra- and postoperative course was uneventful. This robotic platform facilitates in-flap anastomoses of small vessels by increasing the precision of instrument handling and eliminating tremor. The combination of robotic platforms and exoscopes provides superior ergonomics in comparison with conventional (super)microsurgery. We expect robotic platforms to play a significant role in modern microsurgical breast reconstruction.
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.