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Related Experiment Video

Updated: Jun 22, 2025

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

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Robot-assisted Microsurgery: Lessons Learned from 50 Consecutive Cases.

Felix Struebing1, Amir Bigdeli1, Jonathan Weigel1

  • 1From the BG Trauma Center Ludwigshafen, Department for Plastic, Hand and Reconstructive Surgery, Department of Plastic Surgery for the University of Heidelberg, Ludwigshafen, Germany.

Plastic and Reconstructive Surgery. Global Open
|July 1, 2024
PubMed
Summary
This summary is machine-generated.

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Robot-assisted microsurgery shows promise in plastic surgery, offering enhanced precision for free tissue transfer. While challenges exist, outcomes are comparable to traditional methods, indicating its potential for complex reconstructive procedures.

Area of Science:

  • Microsurgery
  • Plastic and Reconstructive Surgery
  • Robotic Surgery

Background:

  • The role of robot-assisted surgery in plastic and reconstructive surgery, particularly for free tissue transfer, requires further investigation.
  • This study presents the initial experience with the Symani surgical system in 50 consecutive robot-assisted microsurgery cases.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of robot-assisted microsurgery in plastic and reconstructive procedures.
  • To assess the application of the Symani surgical system in complex microsurgical reconstructions.

Main Methods:

  • A prospective database collected data from 50 patients undergoing robot-assisted microsurgery.
  • Surgeons received intensive training on the Symani surgical system prior to the study.

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  • Procedures included free microsurgical tissue transfer, targeted muscle reinnervation, and lymphovenous anastomoses.

    • Main Results:

    • Ninety-eight percent of the 94 attempted anastomoses were successfully completed robotically.
    • Free tissue transfer was performed in 45 cases, with no complete flap loss.
    • Minor complications occurred in 3 cases and major complications in 6 cases, with 3 requiring revision for microvascular compromise.

    Conclusions:

    • Robot-assisted microsurgery is a feasible and effective option for various microsurgical procedures, demonstrating outcomes comparable to conventional techniques.
    • The technology offers advantages in precision and motion scaling, despite challenges like longer operating times and higher costs.
    • A gradual learning curve and the need for higher caseloads are identified for optimal adoption.