Robotic microvascular anastomoses in free flap reconstruction - A first UK report.

Paternoster, Julie L; Shepherd, Henry; Ruccia, Francesca; Hayes, Andrew J; Nanidis, Theo; Ramsey, Kelvin W D; Power, Kieran; Khan, Aadil A · J Plast Reconstr Aesthet Surg · 2025

case_report · Level V

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Abstract

We report the first UK case of a robot-assisted free flap reconstruction using the Symani Surgical System for microvascular anastomosis. Following resection of a pre-sternal DFSP, a DIEP flap was used for chet wall reconstruction, with the arterial anastomosis performed robotically. The procedure was completed safely, marking a significant step in integrating robotic technology into open microsurgery. Despite added setup time, the system offered enhanced precision and ergonomics, supporting its role in future complex reconstructive and supermicrosurgical procedures.

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