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Robotic-Assisted Anastomosis in Orthoplastic Surgery: Preliminary Data
Francesco Mori1, Giulio Menichini2, Francesco Rizzo1
1Orthoplastic Department, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|April 26, 2024
Summary
The Symani robotic system enables successful super-microsurgery, achieving a 100+% success rate for anastomoses in free flap reconstruction. This robotic assistance shows particular promise for vessels smaller than 1mm.
Area of Science:
- Robotics in Surgery
- Microsurgery
- Vascular Anastomosis
Background:
- Microsurgery advancements are crucial for complex procedures.
- Super-microsurgery, involving vessels <0.8mm, pushes dexterity limits.
- The Symani robotic system was developed to enhance precision in manipulating small anatomical structures.
Purpose of the Study:
- To evaluate the safety and efficacy of the Symani Surgical System for robotic-assisted anastomoses in free flap reconstruction.
- To assess the system's performance across various vessel calibres.
Main Methods:
- A retrospective analysis of free flap reconstructions using the Symani robotic platform.
- Procedures were performed at the Rizzoli Orthopaedic Institute between October 2022 and May 2023.
Main Results:
- Sixteen microsurgical free flap reconstructions were completed, involving 40 anastomoses.
- Vessel calibres ranged from 0.6mm to 2.5mm, with a 100+% success rate for patent anastomoses.
- No major complications were reported during the study period.
Conclusions:
- The Symani system is safe and reliable for microsurgical anastomoses.
- The platform shows significant potential for super-microsurgery, especially in vessels <1mm.
- Further research with larger cohorts is needed to determine robotics' role in all microsurgical procedures.
