Are pedicled flaps feasible in roboticsurgery? Report of an anatomic study of the kite flap in conventional surgery versus robotic surgery

Publicado em: 2 de fevereiro de 2021 por Naeon
Publicações Científicas

Trabalho oriundo de experiências científicas sobre enxertos em microcirurgia do Dr. José Carlos com o grupo de Robótica de Estrasburgo-França
Journal of Surgical Innovation: March 2012 vol. 19 no.1 89-92
doi: 10.1177/1553350611415869

Are pedicled flaps feasible in roboticsurgery? Report of an anatomic study of the kite flap in conventional surgery versus robotic surgery.

Alexandra Huart, MD
University Hospital, Reims, France
Sybille Facca, MD
Strasbourg University Hospitals, Illkirch, France
Frédéric Lebailly, MD
Strasbourg University Hospitals, Illkirch, France
José Carlos Garcia, MD
NÆON, Sao Paulo, Brazil
Philippe André Liverneaux, MD, PhD philippe.liverneaux@chru-strasbourg.fr
Strasbourg University Hospitals, Illkirch, France;EITS, European Institute of TeleSurgery, Strasbourg, France
Abstract

Reconstruction of cutaneous defects of the hand has dramatically progressed. It should also benefit from the development of robot-assisted surgery. The aim of the present study was to consider the feasibility of a kite flap in robotic surgery. Two cadaver hands were used in this study, one for a conventional procedure, and one for a robotic surgical procedure using a da Vinci Si robot. The operative duration was measured, and all difficulties encountered during the procedures were reported. The total duration of the intervention was 19 minutes with the conventional procedure and 30 minutes with the robotic technique. Some difficulties were encountered, related both to lack of specific instrumentation and haptic feedback. Robotic surgery presents interesting advantages such as the suppression of physiological tremor, increased degrees of freedom, and enhanced precision and accuracy of hand maneuvers. In this study, it allowed the realization of a pedicled flap without any external help.