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Robot-assisted radial forearm free flap harvesting: a propensity score-matched case-control study

Authors
 Seung-Woo Shin  ;  Hyounmin Kim  ;  Woong Nam  ;  Hyung Jun Kim  ;  In-Ho Cha  ;  Yoon Woo Koh  ;  Dongwook Kim 
Citation
 JOURNAL OF ROBOTIC SURGERY, Vol.17(4) : 1429-1434, 2023-08 
Journal Title
JOURNAL OF ROBOTIC SURGERY
ISSN
 1863-2483 
Issue Date
2023-08
MeSH
Case-Control Studies ; Free Tissue Flaps* ; Head and Neck Neoplasms* ; Humans ; Propensity Score ; Reproducibility of Results ; Robotic Surgical Procedures* / methods ; Robotics*
Keywords
Robot-assisted flap harvesting ; Robot-assisted head and neck surgery ; Robot-assisted radial forearm flap ; Robot-assisted soft tissue reconstruction
Abstract
Although some surgeons prefer anterolateral thigh and latissimus dorsi flap for soft tissue reconstruction in the head and neck area because it minimizes donor site complications, the radial forearm flap remains the workhorse for soft tissue reconstruction due to its reliability. To reduce donor site morbidity, the authors developed a novel technique for radial forearm flap harvesting using a robotic device. 42 radial forearm free flap reconstruction cases were studied, consisting of 31 conventional and 11 robot-assisted cases. 1:1 propensity score matching was done according to age, sex, previous and postoperative radiation therapy history and method used for vein anastomosis. There was no significant difference in flap outcome, which was 100% vitality in the robot-assisted group and 90.9% vitality in the conventional group. The robot-assisted group showed significantly longer mean harvesting time than did the conventional group, being 107.2 min and 67.0 min, respectively. Robot-assisted radial forearm flap harvesting can reduce donor site complications by minimizing incision. When more surgical experience is gained under appropriate case selection, we expect our robot-assisted method will yield a harvesting time similar to that of the conventional method and thus become more reliable and feasible.
Full Text
https://link.springer.com/article/10.1007/s11701-023-01539-5
DOI
10.1007/s11701-023-01539-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Dong Wook(김동욱) ORCID logo https://orcid.org/0000-0001-6167-6475
Kim, Hyounmin(김현민)
Kim, Hyung Jun(김형준) ORCID logo https://orcid.org/0000-0001-8247-4004
Nam, Woong(남웅) ORCID logo https://orcid.org/0000-0003-0146-3624
Cha, In Ho(차인호) ORCID logo https://orcid.org/0000-0001-8259-2190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196068
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