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Recent Advancements in Robotic-assisted Plastic Surgery Procedures: A Systematic Review
Kazuho Kawashima1,2, Shadi Ghali2,3,4, Dariush Nikkhah2,3,4
1From the Division of Surgery and Interventional Science, University College of London, London, United Kingdom.
Plastic and Reconstructive Surgery. Global Open
|January 24, 2025
Summary
Robotic surgery adoption in plastic surgery is slow, with limited evidence of superiority over traditional methods. Further research is needed to define the role of surgical robots, despite advancements in specific procedures.
Area of Science:
- Surgical Technology
- Plastic Surgery
- Robotics in Medicine
Background:
- Robotic-assisted surgery adoption in plastic surgery has been gradual over the past decade.
- Rapid advancements in science and technology necessitate an updated review of robotic procedures in plastic surgery.
Purpose of the Study:
- To provide a current literature update on robotic-assisted plastic surgery procedures.
- To synthesize the existing evidence on the application and outcomes of robotic surgery in plastic surgery.
Main Methods:
- A comprehensive literature search was conducted across MEDLINE, Embase, and Central databases.
- Articles published in English with full texts from March 2023 to December 2024 were included for narrative synthesis.
- 1200 articles were initially identified, with 46 ultimately selected for the final analysis.
Main Results:
- The 46 selected studies covered various applications: transoral robotic surgery (4), breast surgery (14), robotic microsurgery (10), abdominal wall reconstruction (5), vaginoplasty (6), and flap harvest (5).
- Evidence supporting the advantages of robotic plastic surgery over traditional techniques is currently limited.
- Advancements have been noted in transoral robotic surgery, robotic mastectomy, and breast reconstruction.
Conclusions:
- Prospective randomized trials are crucial to definitively establish the role of surgical robots in plastic surgery across all procedures.
- Key barriers to wider adoption include high costs, disruption to surgical workflow, and the lack of haptic feedback.
- Despite current limitations, specific areas show promise for robotic-assisted techniques in plastic surgery.
