ArticlePlastic and reconstructive surgery. Global open2026
Expanding the Role of Robot-assisted Microsurgery: Implementation, Challenges, and Outlook From a High-volume Tertiary Care Center.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robot-assisted microsurgery (RAMS) extends conventional microsurgical techniques by enhancing precision, eliminating tremor, and providing motion scaling. Despite its promising role in plastic and reconstructive surgery, its clinical implementation remains limited. Recent advancements, notably the Symani Surgical System, address prior challenges in scale and dexterity, enabling interventions in challenging anatomical regions. This study shares our single-center experience using RAMS across diverse reconstructions and assesses its implementation, feasibility, and short-term outcomes. Methods: We retrospectively analyzed 40 consecutive RAMS procedures between March 2023 and April 2024 performed by a single surgeon at a high-volume tertiary care center using the Symani Surgical System. Patient demographics, surgical details, and outcomes were systematically collected. Results: Forty patients underwent robot-assisted reconstructions; 26 cases involved free tissue transfer and 14 acute hand trauma, including digital replantations. Two cases involved lymphovenous anastomoses, either combined with or preformed separately from lymph node transfer. A total of 130 robot-assisted anastomoses were performed: 43 arterial anastomoses, 57 venous anastomoses, 7 vein-to-artery anastomoses, 4 lymphovenous anastomoses, and 19 nerve coaptations. No flap loss or revisions occurred. Mean anastomosis time was approximately 16.4 minutes (±9.6 min). Conclusions: RAMS demonstrated safety, feasibility, and favorable clinical outcomes in a variety of reconstructive cases. Although initial challenges such as prolonged operative times and elevated costs persist, these decline with experience and familiarity. RAMS holds potential for broader clinical integration and future applications, including remote microsurgery. Further studies should evaluate its long-term outcomes, cost-effectiveness, and routine application.
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.