Archives of Plastic Surgery

  • 제49권1호
  • /
  • Pages.34-38
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  • 2022
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP

  • Jung, Ji Hyuk (Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Jeon, Yeo Reum (Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Lee, Dong Won (Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Hyung Seok (Department of Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Lew, Dae Hyun (Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Roh, Tae Suk (Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Seung Yong (Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2021.04.29
  • 심사 : 2021.11.06
  • 발행 : 2022.01.15
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초록

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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참고문헌

  1. Futter CM, Weiler-Mithoff E, Hagen S, et al. Do pre-operative abdominal exercises prevent post-operative donor site complications for women undergoing DIEP flap breast reconstruction? A two-centre, prospective randomised controlled trial. Br J Plast Surg 2003;56:674-83. https://doi.org/10.1016/S0007-1226(03)00362-X
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