{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:58:44Z","timestamp":1790585924327,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Robotic\u2010assisted deep inferior epigastric perforator (DIEP) flap harvest minimizes donor\u2010site morbidity by reducing fascial disruption and preserving rectus muscle integrity. Traditional criteria for robotic DIEP have limited use to short intramuscular perforators, but this case demonstrates the feasibility of a totally extraperitoneal (TEP) approach in a patient with a long (91.6\u2009mm) intramuscular perforator. Using a multi\u2010port robotic system and a 3\u2009cm anterior fascial incision, we successfully dissected a 17\u2009cm pedicle without muscle sacrifice or mesh reinforcement. A literature review highlights the rarity of TEP techniques, especially for long perforators. This case supports expanding robotic DIEP criteria based on perforator anatomy rather than strict length cutoffs and illustrates the potential of TEP dissection to avoid intra\u2010abdominal entry while preserving abdominal wall integrity.<\/jats:p>","DOI":"10.1002\/micr.70288","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:19:25Z","timestamp":1790072365000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Expanding Criteria for Totally Extraperitoneal Robotic\n                    <scp>DIEP<\/scp>\n                    Flap Harvest: A Case Report and Review of the Literature"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3674-6281","authenticated-orcid":false,"given":"Julia","family":"Ting","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7967-2210","authenticated-orcid":false,"given":"Diwakar","family":"Phuyal","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Dermatology and Plastic Surgery Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clayton","family":"Petro","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Integrated Surgical Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor F. A.","family":"Almeida","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Dermatology and Plastic Surgery Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9840-203X","authenticated-orcid":false,"given":"Lucas","family":"Beffa","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Integrated Surgical Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9271-5983","authenticated-orcid":false,"given":"Raffi","family":"Gurunian","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Surgical Subspecialty Institute Cleveland Clinic Abu Dhabi  Abu Dhabi UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1855-8937","authenticated-orcid":false,"given":"Risal","family":"Djohan","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Dermatology and Plastic Surgery Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8553-6819","authenticated-orcid":false,"given":"Graham","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Dermatology and Plastic Surgery Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7660-7576","authenticated-orcid":false,"given":"Sarah N.","family":"Bishop","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Dermatology and Plastic Surgery Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004947"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000008988"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30856"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30297"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.989231"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100044\u20101788642"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100044\u20101788930"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.70160"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20102659\u20106939"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.10.098"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000010470"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.02.054"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.70288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:34:15Z","timestamp":1790584455000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/micr.70288"],"URL":"https:\/\/doi.org\/10.1002\/micr.70288","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2025-11-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70288"}}