Abstract：
BACKGROUND: Robotic assisted surgery (RAS) has seen significant advancement in many surgical specialties, although the application of robotics in plastic and reconstructive surgery remains to be widely established. This systematic review aims to assess the role of RAS in plastic and reconstructive surgery.
METHODS: The review protocol was published and registered a priori as CRD42024507420. A comprehensive electronic search for relevant studies was performed in MEDLINE, Embase and Google scholar databases.
RESULTS: Overall, 132 studies were initially identified, of which, 44 studies satisfied the eligibility criteria with a cumulative total of 239 patients. RAS demonstrated a high degree of procedural success and anastomotic patency in microvascular procedures. There was no significant difference in periprocedural adverse events between robotic and manual procedures.
CONCLUSIONS: RAS can be feasibly implemented in plastic and reconstructive surgery with a good efficacy and safety profile, particularly for microsurgical anastomosis and trans-oral surgery.
METHODS: The review protocol was published and registered a priori as CRD42024507420. A comprehensive electronic search for relevant studies was performed in MEDLINE, Embase and Google scholar databases.
RESULTS: Overall, 132 studies were initially identified, of which, 44 studies satisfied the eligibility criteria with a cumulative total of 239 patients. RAS demonstrated a high degree of procedural success and anastomotic patency in microvascular procedures. There was no significant difference in periprocedural adverse events between robotic and manual procedures.
CONCLUSIONS: RAS can be feasibly implemented in plastic and reconstructive surgery with a good efficacy and safety profile, particularly for microsurgical anastomosis and trans-oral surgery.
摘要：
背景：机器人辅助手术（RAS）在许多外科专业领域取得了重大进展，尽管机器人在整形和重建手术中的应用仍有待广泛建立。本系统评价旨在评估RAS在整形和重建手术中的作用。
方法：审查方案已发布，并事先注册为CRD42024507420。在MEDLINE进行了相关研究的全面电子搜索，Embase和谷歌学者数据库。
结果：总体而言，最初确定了132项研究，其中，44项研究满足资格标准，累计239例患者。RAS在微血管手术中显示出高度的手术成功和吻合通畅性。机器人和手动程序之间的围手术期不良事件没有显着差异。
结论：RAS可以在整形和重建手术中实施，具有良好的疗效和安全性，特别是显微外科吻合和经口手术。
方法：审查方案已发布，并事先注册为CRD42024507420。在MEDLINE进行了相关研究的全面电子搜索，Embase和谷歌学者数据库。
结果：总体而言，最初确定了132项研究，其中，44项研究满足资格标准，累计239例患者。RAS在微血管手术中显示出高度的手术成功和吻合通畅性。机器人和手动程序之间的围手术期不良事件没有显着差异。
结论：RAS可以在整形和重建手术中实施，具有良好的疗效和安全性，特别是显微外科吻合和经口手术。
