Robotic assisted free flap reconstruction of the scalp using the Symani® surgical system

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-03-29 DOI:10.1007/s00701-025-06501-y

Jennifer Ashley Watson, Sören Könneker, Giuseppe Esposito, Luzie Hofmann, Bong-Sung Kim, Pietro Giovanoli, Nicole Lindenblatt

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引用次数: 0

Abstract

Purpose

Robotic-assisted surgery currently is evolving as a new field in microsurgery with potential benefits for reconstructive surgery. The Symani^® Surgical System has shown feasibility in performing microsurgical anastomosis. Reconstruction of the soft tissue of the scalp is commonly necessary after brain surgery with reconstruction of the cranium using foreign materials such as PEEK (Polyether ether ketone). We describe our experience with free soft tissue transfer with a free anterolateral thigh (ALT) flap or free latissimus dorsi (LD) flap for reconstruction of the scalp using the Symani^® Surgical System for microsurgical anastomosis.

Methods

We analyzed 6 patients with soft tissue defects of the scalp from September 2023 to January 2024 undergoing soft tissue reconstruction with a free ALT or LD flap. Robotic-assisted microsurgical anastomoses were performed using the Symani^® Surgical System.

Results

4 male patients and 2 female patients (age 61-81 years, mean 71.8 years) were included. Mean hospital stay was 10 (8-13) days. The most common recipient vessels were the Superficial temporal artery and vein (66.7%). In other cases, we used the facial artery and vein. All arterial anastomoses were performed by using the Symani^® Surgical System. The mean operative time was 387 (328-48) minutes. The mean anastomosis time using the Symani^® Surgical System was 32.5 (19-44) minutes. No flap loss was observed. One patient suffered from a PEEK infection as a delayed post-operative complication.

Conclusion

For reconstruction of soft tissue defects of the scalp, a free ALT or LD flap represents a proper treatment option. Performing microanastomosis using the Symani^® Surgical System is a safe technology and is leading to satisfactory outcomes.

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使用Symani®手术系统，机器人辅助头皮自由皮瓣重建

目的机器人辅助手术目前正在发展成为显微外科的一个新领域，在重建手术中具有潜在的优势。Symani®手术系统在显微外科吻合方面已显示出可行性。颅脑手术后，头皮软组织的重建通常是必要的，头盖骨的重建通常使用外源材料，如PEEK（聚醚醚酮）。我们描述了使用Symani®外科系统进行显微外科吻合的游离大腿前外侧（ALT）皮瓣或游离背阔肌（LD）皮瓣进行头皮重建的游离软组织转移的经验。方法对2023年9月~ 2024年1月6例头皮软组织缺损患者行游离ALT或LD皮瓣重建。使用Symani®手术系统进行机器人辅助显微外科吻合。结果男性4例，女性2例，年龄61 ~ 81岁，平均71.8岁。平均住院时间10（8-13）天。最常见的受体血管为颞浅动静脉（66.7%）。在其他情况下，我们使用面部动脉和静脉。所有动脉吻合术均采用Symani®手术系统。平均手术时间387（328-48）分钟。使用Symani®手术系统的平均吻合时间为32.5（19-44）分钟。未见皮瓣丢失。1例患者术后延迟并发症PEEK感染。结论游离ALT或LD皮瓣是修复头皮软组织缺损的理想选择。使用Symani®手术系统进行微吻合是一种安全的技术，并能产生令人满意的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.