{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:34:19Z","timestamp":1776206059444,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The ileocolon flap is a fully autologous, single\u2010stage option in the reconstruction of challenging laryngoesophageal defects, restoring voice and swallowing in patients. This procedure represents one of the most sophisticated cases in the field of reconstructive microsurgery. However, the traditional approach to harvesting the ileocolon flap requires a midline laparotomy, which is associated with several donor site complications. In the literature, a minimally invasive approach for the harvest of this flap, which is complex, associated with numerous morbidities related to laparotomy, and has many modifications to perfect its outcomes, has not yet been defined. The purpose of this report is to describe the technique of robotic harvest of the free ileocolon flap to avoid the risks associated with laparotomy. A 53\u2010year\u2010old patient who underwent laryngectomy and cervical esophagectomy (15\u2010cm defect) for treatment of laryngeal squamous cell carcinoma has been admitted to our department for restoration of voice and swallowing. The robotic surgery system (Da Vinci Xi, Intuitive Surgical) enables precise dissection of the ileum, colon, and ileocolic artery and vein by providing optimized high\u2010definition visualization of the surgical field and enhanced control through robotic arms, which offer a much greater range of motion than the surgeon's hand or laparoscopic systems. The flap included 15\u2009cm of ascending colon, ileocecal valve, 10\u2009cm ileum (voice tube), and 5\u2009cm of chimeric ileal segment (seromuscular patch flap). The flap insetted in the neck in an isoperistaltic fashion; ascending colon end\u2010to\u2010end to the esophageal stumps and voice tube anastomosed to tracheal stump in end\u2010to\u2010side fashion. The microvascular anastomoses were performed to the facial artery and external jugular vein. During a 4\u2010month follow\u2010up period, no complications were observed. The patient can eat solid food and speak with his own voice postoperatively. We believe that robotic harvesting of the free ileocolon flap is a safe, feasible, and effective technique that significantly reduces the risk of morbidity related to the invasiveness of the traditional flap harvesting technique.<\/jats:p>","DOI":"10.1002\/micr.70076","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T09:53:04Z","timestamp":1748339584000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Robotic Harvest of the Free Ileocolon Flap for Esophageal Reconstruction: A Case Report"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8005-5049","authenticated-orcid":false,"given":"G\u00f6khan","family":"Sert","sequence":"first","affiliation":[{"name":"Hacettepe University Faculty of Medicine Department of Plastic Reconstructive and Aesthetic Surgery  Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7392-961X","authenticated-orcid":false,"given":"Nezih","family":"Akkapulu","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Medicine Department of General Surgery  Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1138-x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24864"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.06.005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1748652"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.11.019"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006274"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30181"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.09.030"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31818cc11e"},{"issue":"4","key":"e_1_2_9_11_1","first-page":"147","article-title":"Simultaneous Reconstruction of the Esophagus and Restoration of Voice Mechanism Using a Free Ileocolon Flap: A First Case Report From T\u00fcrkiye","volume":"32","author":"Sert G.","year":"2024","journal-title":"Turkish Journal of Plastic Surgery"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10061"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T16:41:21Z","timestamp":1764434481000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/micr.70076"],"URL":"https:\/\/doi.org\/10.1002\/micr.70076","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-12-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70076"}}