{"title":"Robotic-Assisted DIEP Flap Harvest: A Call for Balanced Discussion of Surgical Risk.","authors":"Raymund E Horch, Andreas Arkudas","doi":"10.1055/a-2690-9728","DOIUrl":null,"url":null,"abstract":"<p><p>We commend Choe et al. for their technically detailed report on robotic-assisted deep inferior epigastric perforator (DIEP) flap harvest. While recognizing the promise of robotic surgery in microsurgical applications, we believe a more critical evaluation of the intraabdominal approach is warranted. The technique's emphasis on reduced fascial incision length must be weighed against underexplored risks, including potential intraabdominal complications, peritoneal entry, adhesions, increased hernia risk from multiple port sites, and the physiologic effects of gas insufflation. Additionally, longer ischemia times and total operative duration should be considered when assessing overall surgical benefit. This letter highlights key concerns and encourages a balanced discussion on the true trade-offs of robotic-assisted DIEP flap harvest within the evolving field of reconstructive microsurgery.</p>","PeriodicalId":16949,"journal":{"name":"Journal of reconstructive microsurgery","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of reconstructive microsurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2690-9728","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
We commend Choe et al. for their technically detailed report on robotic-assisted deep inferior epigastric perforator (DIEP) flap harvest. While recognizing the promise of robotic surgery in microsurgical applications, we believe a more critical evaluation of the intraabdominal approach is warranted. The technique's emphasis on reduced fascial incision length must be weighed against underexplored risks, including potential intraabdominal complications, peritoneal entry, adhesions, increased hernia risk from multiple port sites, and the physiologic effects of gas insufflation. Additionally, longer ischemia times and total operative duration should be considered when assessing overall surgical benefit. This letter highlights key concerns and encourages a balanced discussion on the true trade-offs of robotic-assisted DIEP flap harvest within the evolving field of reconstructive microsurgery.
期刊介绍：
The Journal of Reconstructive Microsurgery is a peer-reviewed, indexed journal that provides an international forum for the publication of articles focusing on reconstructive microsurgery and complex reconstructive surgery. The journal was originally established in 1984 for the microsurgical community to publish and share academic papers.
The Journal of Reconstructive Microsurgery provides the latest in original research spanning basic laboratory, translational, and clinical investigations. Review papers cover current topics in complex reconstruction and microsurgery. In addition, special sections discuss new technologies, innovations, materials, and significant problem cases.
The journal welcomes controversial topics, editorial comments, book reviews, and letters to the Editor, in order to complete the balanced spectrum of information available in the Journal of Reconstructive Microsurgery. All articles undergo stringent peer review by international experts in the specialty.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
