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Advances in Reconstructive Robotic Microsurgery in the Extremity.

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The Symani Surgical System offers a safe and effective robotic approach for microanastomosis in extremity reconstruction. This innovative system demonstrates versatility and precision, leading to successful outcomes in complex reconstructive procedures.

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Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Robotic Surgery

Background:

  • Robotic surgery presents emerging advantages for reconstructive procedures.
  • Initial reports highlighted the Symani Surgical System for microsurgical anastomosis.
  • The system's potential in extremity reconstruction required further evaluation.

Purpose of the Study:

  • To evaluate the full potential of the Symani Surgical System in extremity reconstruction.
  • To assess the safety and efficacy of robotic-assisted microanastomosis in soft tissue defects.

Main Methods:

  • Retrospective analysis of patients undergoing soft tissue reconstruction with free tissue transfer.
  • Microsurgical anastomosis performed using the Symani Surgical System (Medical Microinstruments, S.p.A).
  • Study included 8 patients (7 male, 1 female) aged 19-71 years between Feb 2022 - May 2024.

Main Results:

  • The anterior tibial artery and vein were the most common recipient vessels (37.5%).
  • End-to-side arterial anastomoses were preferred (6/8), all performed robotically.
  • Mean anastomosis time was 33.2±5.8 minutes, with one revision needed outside the anastomosis.

Conclusions:

  • The Symani Surgical System is a safe and effective tool for microanastomosis in extremity reconstruction.
  • The system facilitates various anastomosis techniques, enhancing versatility in complex cases.
  • Robotic assistance offers promising precision and ergonomic benefits for reconstructive microsurgery.