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.
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。