Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
- Author:
Ji Hyuk JUNG
1
;
Yeo Reum JEON
;
Dong Won LEE
;
Hyung Seok PARK
;
Dae Hyun LEW
;
Tae Suk ROH
;
Seung Yong SONG
Author Information
- Publication Type:Case Report
- From:Archives of Plastic Surgery 2022;49(1):34-38
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
