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Systematic Review

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

1
Division of Plastic and Reconstructive Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
2
SUNY Downstate Medical School, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
3
The American Medical Program, Tel Aviv University, Tel Aviv 6997801, Israel
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(15), 4951; https://doi.org/10.3390/jcm12154951
Submission received: 26 May 2023 / Revised: 22 June 2023 / Accepted: 27 June 2023 / Published: 27 July 2023
(This article belongs to the Special Issue Reconstructive Microsurgery: Challenges and New Perspectives)

Abstract

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.
Keywords: robotic surgery; autologous breast reconstruction; surgical innovation; robotic-assisted surgery; robotic breast surgery; robotic plastic surgery robotic surgery; autologous breast reconstruction; surgical innovation; robotic-assisted surgery; robotic breast surgery; robotic plastic surgery

Share and Cite

MDPI and ACS Style

Roy, N.; Alessandro, C.J.; Ibelli, T.J.; Akhavan, A.A.; Sharaf, J.M.; Rabinovitch, D.; Henderson, P.W.; Yao, A. The Expanding Utility of Robotic-Assisted Flap Harvest in Autologous Breast Reconstruction: A Systematic Review. J. Clin. Med. 2023, 12, 4951. https://doi.org/10.3390/jcm12154951

AMA Style

Roy N, Alessandro CJ, Ibelli TJ, Akhavan AA, Sharaf JM, Rabinovitch D, Henderson PW, Yao A. The Expanding Utility of Robotic-Assisted Flap Harvest in Autologous Breast Reconstruction: A Systematic Review. Journal of Clinical Medicine. 2023; 12(15):4951. https://doi.org/10.3390/jcm12154951

Chicago/Turabian Style

Roy, Nikita, Christopher J. Alessandro, Taylor J. Ibelli, Arya A. Akhavan, Jake M. Sharaf, David Rabinovitch, Peter W. Henderson, and Alice Yao. 2023. "The Expanding Utility of Robotic-Assisted Flap Harvest in Autologous Breast Reconstruction: A Systematic Review" Journal of Clinical Medicine 12, no. 15: 4951. https://doi.org/10.3390/jcm12154951

APA Style

Roy, N., Alessandro, C. J., Ibelli, T. J., Akhavan, A. A., Sharaf, J. M., Rabinovitch, D., Henderson, P. W., & Yao, A. (2023). The Expanding Utility of Robotic-Assisted Flap Harvest in Autologous Breast Reconstruction: A Systematic Review. Journal of Clinical Medicine, 12(15), 4951. https://doi.org/10.3390/jcm12154951

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