{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:04:22Z","timestamp":1777896262384,"version":"3.51.4"},"reference-count":54,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Poor cosmetic results with oncoplastic and implant\u2010based breast reconstruction have stimulated an interest in latissimus dorsi flap (LDF)\u2010based reconstruction. We reviewed the surgical techniques and outcomes of the LDF harvested with minimally invasive surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic search was conducted across PubMed\u2010MEDLINE, Web of Science, Scopus, and Ovid\u2010MEDLINE(R). Data on surgical outcomes were extracted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>31 articles were included reporting on 857 reconstructive procedures using a LDF harvested, 497 were endoscopic\u2010assisted LDF (EALDF) (58%) and 174 were robotic\u2010assisted LDF (RALDF) (20.3%). The average flap harvest time was 84.04\u2010min for EALDF and 106.14\u2010min for RALDF. With an EALDF, the incidence of haematoma, seroma, and wound dehiscence ranged between 0%\u201316.6%, 0%\u201348%, and 0%\u20136.2%, respectively. Using RALDF, the incidence of seroma was between 0%\u201326.1% and 0%\u20133.4% for haematoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While the indications for a LDF harvested with MIS are limited, its main advantage for breast reconstruction is the absence of the back scar.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2446","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T06:13:21Z","timestamp":1660716801000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Minimally invasive harvest of the latissimus dorsi flap for breast reconstruction: A systematic review"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8982-1950","authenticated-orcid":false,"given":"Joseph M.","family":"Escand\u00f3n","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Strong Memorial Hospital University of Rochester Medical Center  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahim","family":"Nazerali","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Department of Surgery Stanford University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Ciudad","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Burn Surgery Arzobispo Loayza National Hospital  Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Lo Torto","sequence":"additional","affiliation":[{"name":"Unit of Plastic and Reconstructive Surgery Department of Surgery \u201cP. 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