Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP

Archives of Plastic Surgery

Ji Hyuk Jung¹  Yeo Reum Jeon¹  Hyung Seok Park²  Tae Suk Roh³  Seung Yong Song⁴  Dae Hyun Lew⁴  Dong Won Lee⁴ 

[1] Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea;Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea;Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea;Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea;

关键词: deep inferior epigastric perforator;    breast;    robot;    pedicle;    dissection;   

DOI  :  10.5999/aps.2021.00703

来源: DOAJ

【 摘 要 】

The deep inferior epigastric perforator (DIEP) flap has been widely used for autologous breast reconstruction after mastectomy. In the conventional surgical method, a long incision is needed at the anterior fascia of the rectus abdominis muscle to obtain sufficient pedicle length; this may increase the risk of incisional hernia. To shorten the incision, several trials have investigated the use of endoscopic/robotic devices for pedicle harvest; however, making multiple additional incisions for port insertion and operating in the intraperitoneal field were inevitable. Here, we describe the first case, in which a DIEP free flap was successfully made using the da Vinci SP model. Our findings can help surgeons perform operations in smaller fields with a single port in the extraperitoneal space. Moreover, this method is expected to lead to fewer donor-related complications and faster healing.

【 授权许可】

Unknown