Evolution and Adaptations of Robotic DIEP Flap Surgery: A Systematic Review

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dc.contributor.authorMorkuzu, Suat
dc.contributor.authorBayezid, K. Can
dc.contributor.authorOzmen, Berk B.
dc.contributor.authorEren, Seyma Fatima
dc.contributor.authorFarhat, Souha
dc.contributor.authorMclennan, Alexandra L.
dc.contributor.authorJames, Andrew J.
dc.date.accessioned2025-02-22T14:08:53Z
dc.date.available2025-02-22T14:08:53Z
dc.date.issued2025
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground:The integration of robotic technology into surgical procedures has gained considerable attention for its promise to enhance a variety of clinical outcomes. Robotic deep inferior epigastric perforator (DIEP) flap harvest has emerged as a novel approach for autologous breast reconstruction. This systematic review aims to provide a comprehensive overview of the current techniques, outcomes, and complications of robotic DIEP flap surgery.Methods:A systematic literature search was conducted after PRISMA 2020 guidelines across databases including PubMed, Embase, Google Scholar, and Web of Science from 2000 to 2023. Articles exploring robotic DIEP flap harvest for breast reconstruction were assessed to compare operative techniques, clinical outcomes, and complications. The risk of bias was evaluated using ROBINS-I and the Newcastle-Ottawa scale.Results:Fourteen studies involving 108 patients were included. Three studies used a totally extraperitoneal (TEP) technique, whereas 11 studies used a transabdominal preperitoneal (TAPP) approach. Preoperative planning utilized computed tomography angiography and magnetic resonance angiography imaging. The mean robotic operative time was 64 minutes, with total operative times averaging 574 minutes for TAPP and 497 minutes for TEP. The mean length of stay was 5 days, and the mean fascial incision length was 3 cm. Overall complication rate was 14.9%, with no significant difference compared with conventional DIEP flap procedures.Conclusion:Robotic DIEP flap harvest is a promising technique that may reduce postoperative pain and limiting abdominal donor site morbidity. Potential limitations include longer operative times, variable hospital stays, and increased costs.en_US
dc.identifier.doi10.1097/SCS.0000000000010790
dc.identifier.endpage367en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue1en_US
dc.identifier.pmid39440992en_US
dc.identifier.scopus2-s2.0-85208663445en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage362en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000010790
dc.identifier.urihttps://hdl.handle.net/11468/29694
dc.identifier.volume36en_US
dc.identifier.wosWOS:001386097900008
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectBreast reconstructionen_US
dc.subjectDIEPen_US
dc.subjectmicrosurgeryen_US
dc.subjectRoboDIEPen_US
dc.subjectrobotic surgeryen_US
dc.subjectTAPPen_US
dc.subjectTEPen_US
dc.titleEvolution and Adaptations of Robotic DIEP Flap Surgery: A Systematic Reviewen_US
dc.typeArticleen_US

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