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Robotic DIEP Flap Harvest through a Totally Extraperitoneal Approach Using a Single-Port Surgical Robotic System

Authors
 Jae Hyeok Choi  ;  Seung Yong Song  ;  Hyung Seok Park  ;  Choong Hyeon Kim  ;  Jee Ye Kim  ;  Dae Hyun Lew  ;  Tai Suk Roh  ;  Dong Won Lee 
Citation
 PLASTIC AND RECONSTRUCTIVE SURGERY, Vol.148(2) : 304-307, 2021-08 
Journal Title
PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN
 0032-1052 
Issue Date
2021-08
MeSH
Feasibility Studies ; Humans ; Learning Curve ; Mammaplasty / methods ; Perforator Flap / transplantation* ; Rectus Abdominis / surgery* ; Robotic Surgical Procedures / education ; Robotic Surgical Procedures / instrumentation ; Robotic Surgical Procedures / methods* ; Tissue and Organ Harvesting / education ; Tissue and Organ Harvesting / instrumentation ; Tissue and Organ Harvesting / methods* ; Transplant Donor Site / surgery*
Abstract
Deep inferior epigastric artery perforator (DIEP) flap surgery is one of the most common techniques for breast reconstruction using abdominal tissue. Although the DIEP flap reduces donor-site morbidity when compared with the conventional free transverse rectus abdominis musculocutaneous flap, violation of the anterior rectus sheath, rectus muscle, and motor nerves cannot be avoided. To further minimize tissue damage in the donor site, the use of a surgical robotic system for DIEP flap harvest with a totally extraperitoneal approach has been suggested. This totally extraperitoneal approach has a long learning curve because of the narrow preperitoneal space and the difficulty of converting a potential space to an actual space. Thus, the authors suggest a single-port robotic system optimized for narrow surgical spaces as a feasible option for DIEP flap harvest by a totally extraperitoneal approach, which has a shorter learning curve.
Full Text
https://journals.lww.com/plasreconsurg/Fulltext/2021/08000/Robotic_DIEP_Flap_Harvest_through_a_Totally.6.aspx
DOI
10.1097/PRS.0000000000008181
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jee Ye(김지예) ORCID logo https://orcid.org/0000-0003-3936-4410
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Park, Hyung Seok(박형석) ORCID logo https://orcid.org/0000-0001-5322-6036
Song, Seung Yong(송승용) ORCID logo https://orcid.org/0000-0002-3145-7463
Lew, Dae Hyun(유대현)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187031
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