Kawashima Kazuho, Ghali Shadi, Nikkhah Dariush, Esmaeili Ali
From the Division of Surgery and Interventional Science, University College of London, London, United Kingdom.
Department of Plastic and Reconstructive Surgery, Royal Free NHS Foundation Trust, London, United Kingdom.
Plast Reconstr Surg Glob Open. 2025 Jan 23;13(1):e6476. doi: 10.1097/GOX.0000000000006476. eCollection 2025 Jan.
There has been a delayed, yet steady uptake of robotic-assisted surgery over the past decade within the field of plastic surgery. In an era of rapidly evolving scientific and technological development, there is a need for an update on the current literature for robotic-assisted plastic surgery procedures.
Searches were conducted across major databases, including MEDLINE, Embase, and Central for published literature from March 2023 to December 2024. Only published articles written in English with full texts were considered for the final narrative synthesis.
Initially, we identified 1200 articles in the database search. Subsequently, 46 articles were included in our final narrative synthesis. Among the selected studies, 4 focused on reconstruction in transoral robotic surgery, 14 on breast surgery, 10 on robotic microsurgery, 5 on abdominal wall reconstruction, 6 on vaginoplasty, and 5 on flap harvest.
The evidence to support the advantage of robotic plastic surgery procedures over traditional methods is relatively weak. However, there have been some advancements, specifically in transoral robotic surgery, robotic mastectomy, and breast reconstruction. Nevertheless, comprehensive exploration and prospective randomized trials are essential across all procedures to define the role of surgical robots in plastic surgery. The impediments to wider adoption include high costs, disruption to operative flow, and the absence of haptic feedback in robotic-assisted procedures within the specialty.
在过去十年中，整形外科领域对机器人辅助手术的采用虽有所延迟，但仍在稳步增加。在科技快速发展的时代，需要更新有关机器人辅助整形手术程序的当前文献。
对包括MEDLINE、Embase和Central在内的主要数据库进行检索，以查找2023年3月至2024年12月发表的文献。最终的叙述性综述仅考虑用英文撰写的全文发表文章。
最初，我们在数据库检索中识别出1200篇文章。随后，46篇文章被纳入我们的最终叙述性综述。在所选研究中，4项聚焦经口机器人手术中的重建，14项关于乳房手术，10项关于机器人显微手术，5项关于腹壁重建，6项关于阴道成形术，5项关于皮瓣切取。
支持机器人整形手术程序优于传统方法的证据相对薄弱。然而，已经取得了一些进展，特别是在经口机器人手术、机器人乳房切除术和乳房重建方面。尽管如此，对所有手术程序进行全面探索和前瞻性随机试验对于确定手术机器人在整形手术中的作用至关重要。更广泛采用的障碍包括成本高昂、手术流程中断以及该专业机器人辅助手术中缺乏触觉反馈。
