Back to Search Start Over

Robotic DIEP Flap Harvest through a Totally Extraperitoneal Approach Using a Single-Port Surgical Robotic System

Authors :
Dae Hyun Lew
Choong Hyeon Kim
Jae Hyeok Choi
Jee Ye Kim
Seung Yong Song
Hyung Seok Park
Dong Won Lee
Tai Suk Roh
Source :
Plastic and reconstructive surgery. 148(2)
Publication Year :
2021

Abstract

SUMMARY Deep inferior epigastric artery perforator (DIEP) flap surgery is one of the most common techniques for breast reconstruction using abdominal tissue. Although the DIEP flap reduces donor-site morbidity when compared with the conventional free transverse rectus abdominis musculocutaneous flap, violation of the anterior rectus sheath, rectus muscle, and motor nerves cannot be avoided. To further minimize tissue damage in the donor site, the use of a surgical robotic system for DIEP flap harvest with a totally extraperitoneal approach has been suggested. This totally extraperitoneal approach has a long learning curve because of the narrow preperitoneal space and the difficulty of converting a potential space to an actual space. Thus, the authors suggest a single-port robotic system optimized for narrow surgical spaces as a feasible option for DIEP flap harvest by a totally extraperitoneal approach, which has a shorter learning curve.

Details

ISSN :
15294242
Volume :
148
Issue :
2
Database :
OpenAIRE
Journal :
Plastic and reconstructive surgery
Accession number :
edsair.doi.dedup.....673f5cc56222d1cef226cec41b97d5c8