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Updated: Mar 15, 2026

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
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A new dimension: robotic reconstruction in plastic surgery.

Nima P Patel1, Justin Van Meeteren2, John Pedersen3

  • 1Division of Plastic and Reconstructive Surgery, Summa Health System/Northeast Ohio Universities College of Medicine, 525 E. Market Street, Akron, OH, 44304, USA.

Journal of Robotic Surgery
|September 18, 2016
PubMed
Summary

Robot-assisted surgery offers enhanced visualization and precision for reconstructive procedures. This technology shows great potential in plastic surgery despite a learning curve and lack of biofeedback.

Keywords:
Latissimus dorsi flapRobotic surgery

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Area of Science:

  • Plastic Surgery
  • Surgical Robotics

Background:

  • Robot-assisted surgery, approved by the FDA in 1994, offers benefits like 3D visualization, enhanced dexterity, and improved surgeon ergonomics.
  • Robotic systems provide a 7° range of motion, tremor elimination, and 360° freedom at a 10-mm distance.

Purpose of the Study:

  • To introduce a novel robotic surgical tool for applications in reconstructive surgery.
  • To evaluate the efficacy of robotic systems in harvesting and preparing tissue flaps for reconstruction.

Main Methods:

  • A case study detailing the use of a robotic system for elevating a pedicled, myocutaneous latissimus dorsi flap in shoulder reconstruction.
  • The robotic system was employed to harvest the flap, facilitating precise dissection and preparation.

Main Results:

  • Successful harvesting of a pedicled latissimus dorsi flap using the robotic system.
  • Subsequent use of the robotic system for breast reconstruction flap harvesting and microvascular anastomoses in free flaps.

Conclusions:

  • Robotic systems hold significant potential as surgical tools in plastic surgery, offering advantages in visualization and surgeon comfort.
  • Key limitations include the initial learning curve and the absence of tactile biofeedback.