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Robotic-Assisted Microsurgery and Its Future in Plastic Surgery.

Matthias M Aitzetmüller1,2,3, Marie-Luise Klietz1,2,3, Alexander F Dermietzel1,2,3

  • 1Department of Trauma, Hand and Reconstructive Surgery, Division of Plastic Surgery, University Hospital Muenster, 48149 Muenster, Germany.

Journal of Clinical Medicine
|June 24, 2022
PubMed
Summary

Robotic-assisted surgery is underutilized in plastic surgery due to technical and economic barriers. This review explores emerging robotic technologies and their potential to advance plastic surgery practice.

Keywords:
microsurgeryrobotic microscoperobotic-assisted surgery

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Area of Science:

  • Surgical Technology
  • Plastic Surgery Innovation

Background:

  • Robotic-assisted surgery (RAS) is established in many surgical fields but not yet routine in plastic surgery.
  • Technical and economic challenges hinder the widespread adoption of RAS in plastic surgery.
  • Existing case series show promise, but broader implementation requires further development.

Purpose of the Study:

  • To review the current state and future potential of robotic assistance in plastic surgery.
  • To identify and describe specific robotic microsurgery systems and their clinical translatability.
  • To provide an overview of emerging technologies and research in robotic plastic surgery.

Main Methods:

  • Comprehensive literature search of PubMed and Google Scholar databases.
  • Inclusion of case reports, case series, clinical trials, preclinical trials, and patents.
  • Analysis of past and recent robotic approaches and ongoing patent activities.

Main Results:

  • Identified eight specific systems for robotic-assisted microsurgery.
  • Described the potential for clinical translation of these robotic systems.
  • Highlighted emerging technologies and preclinical/clinical studies in the field.

Conclusions:

  • Robotic assistance holds significant potential to establish a novel field within plastic surgery.
  • Overcoming technical and economic hurdles is crucial for routine clinical integration.
  • Further research and development are needed to realize the full benefits of robotic surgery in plastic surgery.