Robotics in microsurgery: Use of a surgical robot to perform a free flap in a pig

✍ Scribed by Ryan D. Katz; Gedge D. Rosson; Jesse A. Taylor; Navin K. Singh

• Book ID: 102513649
• Publisher: John Wiley and Sons
• Year: 2005
• Tongue: English
• Weight: 280 KB
• Volume: 25
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/micr.20160

✦ Synopsis

We present the concept that a surgical robot may be used to successfully perform a free flap. To study different microsurgical techniques, a porcine free flap model was developed in our laboratory. Dissection of the free flap model and isolation of the vessels were completed under traditional loupe magnification. The da Vinciâ robot was then used to perform vessel adventitiectomy and microanastomoses. The model was observed for 4 h postoperatively, noting flap color, temperature, capillary refill, and Doppler signal. At the end of this period, the flap was noted to be viable; anastomoses were evaluated and found to be grossly and microscopically patent. Advantages conferred by the da VinciÒ robot include elimination of tremor, scalable movements, fully articulating instruments with six degrees of spatial freedom, and a dynamic threedimensional visualization system. Drawbacks include the cost and the absence of true microsurgical instruments.