Minimally invasive robotic-assisted harvest of the deep inferior epigastric perforator flap for autologous breast reconstruction

Piper, Merisa; Ligh, Cassandra A.; Shakir, Sameer; Messa, Charles A.; Soriano, Ian; Kanchwala, Suhail

doi:10.1016/j.bjps.2020.08.106

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…This technique, much like laparoscopic harvest heavily relies on an adequate combination of open and intra-abdominal (i. e. robotic assisted) perforator dissection through a small facial incision [18]. and has been described in unilateral as well as bilateral cases [19]. The ideal patient has one to two closely grouped perforators with a short intra-muscular course.…”

Section: The Total Extra-peritoneal Laparoscopic Diep Flap Harvestmentioning

confidence: 99%

“…When applied to the field of plastic surgery, robotic systems allow for a minimally invasive intra-abdominal dissection during pedicle harvest without compromising pedicle length or particularly disturbing muscle and fascia except at the perforator exit site in the fascia 17 This technique, much like laparoscopic harvest heavily relies on an adequate combination of open and intra-abdominal (i. e. robotic assisted) perforator dissection through a small facial incision 18 and has been described in unilateral as well as bilateral cases 19 The ideal patient has one to two closely grouped perforators with a short intra-muscular course. Unfortunately the more perforators or the furthest apart they are from each other, the more aggressive the muscle dissection must be with previous studies looking at the risk- benefit ratio in these cases 20…”

Section: The Transabdominal Pre-preperitoneal Robotic Free Flap Harvestmentioning

confidence: 99%

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Minimally Invasive Approaches to DIEP flap Harvest: A review of current data

Nores

Kanchwala

2022

Handchir Mikrochir Plast Chir

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Breast cancer is the most prevalent cancer in the female population. Autologous tissue is often used for reconstruction after mastectomy. The deep inferior epigastric (DIEP) flap is a favorite for breast reconstruction because it entails careful perforator dissection with less muscle destruction. Recently, minimally invasive techniques in DIEP flap harvest have increased in popularity but their complication rate and security profile may vary from one technique to another. The purpose of this review study is to evaluate and compare two minimally invasive surgical approaches to abdominal based free flap harvest: the transabdominal pre-peritoneal robotic assisted DIEP flap harvest and total extra-peritoneal laparoscopic DIEP flap harvest.

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Section: The Total Extra-peritoneal Laparoscopic Diep Flap Harvestmentioning

confidence: 99%

Section: The Transabdominal Pre-preperitoneal Robotic Free Flap Harvestmentioning

confidence: 99%

Minimally Invasive Approaches to DIEP flap Harvest: A review of current data

Nores

Kanchwala

2022

Handchir Mikrochir Plast Chir

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Modern Innovations in Breast Surgery: Robotic Breast Surgery and Robotic Breast Reconstruction

Egan

Selber

2023

Clinics in Plastic Surgery

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The Expanding Utility of Robotic-Assisted Flap Harvest in Autologous Breast Reconstruction: A Systematic Review

Roy

Alessandro

Ibelli

et al. 2023

JCM

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The expansion of robotic surgery has led to developments in robotic-assisted breast reconstruction techniques. Specifically, robotic flap harvest is being evaluated to help maximize operative reliability and reduce donor site morbidity without compromising flap success. Many publications are feasibility studies or technical descriptions; few cohort analyses exist. This systematic review aims to characterize trends in robotic autologous breast reconstruction and provide a summative analysis of their results. A systematic review was conducted using PubMed, Medline, Scopus, and Web of Science to evaluate robot use in breast reconstruction. Studies dated from 2006 to 2022 were identified and analyzed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Full-text, peer-reviewed, English-language, and human subject studies were included. Non-breast reconstruction articles, commentary, expert opinion, editor’s letter, and duplicate studies were excluded. A total of 17 full-text articles were analyzed. The two robotic breast procedures identified were the deep inferior epigastric perforator (DIEP) and the latissimus dorsi (LD) flap. Results showed comparable complication rates and increased operative times compared to NSQIP data on their corresponding open techniques. Additional findings reported in studies included patient reported outcomes, incision lengths, and downward trends in operative time with consecutive procedures. The available data in the literature confirms that robotic surgery is a promising alternative to traditional open methods of breast reconstruction following mastectomy.

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Minimally invasive robotic-assisted harvest of the deep inferior epigastric perforator flap for autologous breast reconstruction

Cited by 3 publications

References 5 publications

Minimally Invasive Approaches to DIEP flap Harvest: A review of current data

Minimally Invasive Approaches to DIEP flap Harvest: A review of current data

Modern Innovations in Breast Surgery: Robotic Breast Surgery and Robotic Breast Reconstruction

The Expanding Utility of Robotic-Assisted Flap Harvest in Autologous Breast Reconstruction: A Systematic Review

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