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KMID : 1038220220490010034
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Archives of Plastic Surgery
2022 Volume.49 No. 1 p.34 ~ p.38
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Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
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Jung Ji-Hyuk
Jeon Yeo-Reum
Lee Dong-Won
Park Hyung-Seok
Lew Dae-Hyun
Roh Tae-Suk
Song Seung-Yong
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Abstract
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The deep inferior epigastric perforator (DIEP) flap has been widely used for autologous breast reconstruction after mastectomy. In the conventional surgical method, a long incision is needed at the anterior fascia of the rectus abdominis muscle to obtain sufficient pedicle length; this may increase the risk of incisional hernia. To shorten the incision, several trials have investigated the use of endoscopic/robotic devices for pedicle harvest; however, making multiple additional incisions for port insertion and operating in the intraperitoneal field were inevitable. Here, we describe the first case, in which a DIEP free flap was successfully made using the da Vinci SP model. Our findings can help surgeons perform operations in smaller fields with a single port in the extraperitoneal space. Moreover, this method is expected to lead to fewer donor-related complications and faster healing.
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KEYWORD
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Deep inferior epigastric perforator, Breast, Robot, Pedicle, Dissection
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