Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
J Plast Reconstr Aesthet Surg. 2022 Oct;75(10):3664-3672. doi: 10.1016/j.bjps.2022.06.009. Epub 2022 Jun 26.
Robotic reconstructive surgery has been performed since 2012 at our institution. The purpose of this study was to report our 10-year experience with robot-assisted reconstructive surgery and compare the clinical outcomes of different robotic models.
Medical records of 41 patients who had chest or breast reconstruction during October 2012 ∼ May 2021 were reviewed retrospectively. Different robotic models were evaluated and compared in terms of surgical technique, demographic variables, postoperative complication, and operative parameters. esthetic assessments were performed by four plastic surgeons to evaluate symmetry, scar formation, and general esthetic features based on patients' photographs.
Overall, out of 41 robot-assisted reconstructive surgeries, 13 were performed with the Da Vinci Si model, 18 with the Da Vinci Xi model, and 10 with the Da Vinci Sp model. The docking time, robot operation time, and hospitalization time were shorter for surgeries, which used the Da Vinci Sp model than other models. All other complications and operative parameters showed no significant difference. Improved esthetic outcome was achieved for all patient groups. Group Sp had the most favorable score, followed by Group Xi and Group Si, although there were no statistical implications.
Ever since the introduction of the Da Vinci model in 2012, we have successfully implemented the robot-assisted reconstructive surgery. Surgical technique improved over the last 10 years. With the introduction of the Sp model, we are now at the stage of further developing the surgical technique and establishing the robotic reconstructive surgery.
自 2012 年以来，我们机构一直在进行机器人辅助重建手术。本研究的目的是报告我们在机器人辅助重建手术方面的 10 年经验，并比较不同机器人型号的临床结果。
回顾性分析 2012 年 10 月至 2021 年 5 月期间接受胸部或乳房重建的 41 例患者的病历。从手术技术、人口统计学变量、术后并发症和手术参数等方面对不同的机器人模型进行了评估和比较。四位整形外科医生根据患者的照片对美容评估进行了评估，以评估对称性、疤痕形成和整体美容特征。
总体而言，在 41 例机器人辅助重建手术中，有 13 例采用达芬奇 Si 模型，18 例采用达芬奇 Xi 模型，10 例采用达芬奇 Sp 模型。与其他模型相比，使用达芬奇 Sp 模型的手术对接时间、机器人操作时间和住院时间更短。所有其他并发症和手术参数均无显著差异。所有患者组的美容效果均得到改善。Sp 组的评分最高，其次是 Xi 组和 Si 组，但无统计学意义。
自 2012 年达芬奇模型推出以来，我们已经成功实施了机器人辅助重建手术。过去 10 年来，手术技术不断改进。随着 Sp 模型的引入，我们现在正处于进一步发展手术技术和建立机器人重建手术的阶段。
