{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:57:55Z","timestamp":1790740675998,"version":"4.1.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Robotically assisted latissimus dorsi harvest permits harvest of the latissimus dorsi muscle without a back incision, as compared to the traditional open technique. The authors hypothesized that robotic harvest has lower donor-site complication rates, decreased opioid requirements, and a shorter length of stay than the traditional open technique.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>A retrospective review was performed of all consecutive pedicled latissimus dorsi flaps for breast reconstruction between 2011 and 2015. All procedures were conducted by two surgeons who performed both robotic and open cases.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Fifty-two patients were identified; 25 underwent robotically assisted latissimus dorsi harvest and 27 underwent the open technique. Demographic data between the two groups were similar. Median length of stay for robotic harvest was shorter than that for the traditional technique (2 days versus 3 days; <jats:italic toggle=\"yes\">p<\/jats:italic> = 0.031). Postoperative morphine requirement was less in the robotic compared to the traditional technique, but the difference was not significant (158 mg versus 184 mg; <jats:italic toggle=\"yes\">p<\/jats:italic> = 0.826). Seroma rate was higher in the robotic group (16 percent versus 0 percent; <jats:italic toggle=\"yes\">p<\/jats:italic> = 0.034). The mean duration of surgery was longer in the robotic cohort (388 minutes versus 311 minutes; <jats:italic toggle=\"yes\">p<\/jats:italic> = 0.002).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>This study demonstrates robotically assisted latissimus dorsi harvest as an effective alternative to the traditional open technique in select patients. Advantages of robotic harvest include no back scar, a shorter length of stay, and lower opioid requirements, although the difference was not significant; disadvantages include longer operative time and a higher seroma rate.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical Question\/Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic, III.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/prs.0000000000007368","type":"journal-article","created":{"date-parts":[[2020,9,20]],"date-time":"2020-09-20T13:04:25Z","timestamp":1600607065000},"page":"1221-1225","source":"Crossref","is-referenced-by-count":38,"title":["Comparing Outcomes of Robotically Assisted Latissimus Dorsi Harvest to the Traditional Open Approach in Breast Reconstruction"],"prefix":"10.1097","volume":"146","author":[{"given":"Sebastian","family":"Winocour","sequence":"first","affiliation":[{"name":"From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Tarassoli","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie K.","family":"Chu","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Liu","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Clemens","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse C.","family":"Selber","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"R1-20231017","first-page":"141","article-title":"Sopra il mio nuovo processo di amputazione della mammella.","volume":"57","author":"Tansini","year":"1906","journal-title":"Gazz Med Ital"},{"key":"R2-20231017","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/00000637-199411000-00001","article-title":"Early clinical experience in endoscopic-assisted muscle flap harvest.","volume":"33","author":"Fine","year":"1994","journal-title":"Ann Plast Surg"},{"key":"R3-20231017","doi-asserted-by":"crossref","first-page":"88e","DOI":"10.1097\/PRS.0b013e31821ef25d","article-title":"Robotic latissimus dorsi muscle harvest.","volume":"128","author":"Selber","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"R4-20231017","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1055\/s-0032-1315789","article-title":"Robotic harvest of the latissimus dorsi muscle: Laboratory and clinical experience.","volume":"28","author":"Selber","year":"2012","journal-title":"J Reconstr Microsurg"},{"key":"R5-20231017","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1097\/PRS.0b013e31824ecc0b","article-title":"Robotic latissimus dorsi muscle harvest: A case series.","volume":"129","author":"Selber","year":"2012","journal-title":"Plast Reconstr Surg"},{"key":"R6-20231017","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1016\/j.bjps.2015.03.021","article-title":"A novel technique for robot assisted latissimus dorsi flap harvest.","volume":"68","author":"Chung","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R9-20231017","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1055\/s-0034-1368163","article-title":"Robotic-assisted latissimus dorsi harvest in delayed-immediate breast reconstruction.","volume":"28","author":"Clemens","year":"2014","journal-title":"Semin Plast Surg"},{"key":"R10-20231017","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1001\/jamasurg.2016.4952","article-title":"Enhanced recovery after surgery: A review.","volume":"152","author":"Ljungqvist","year":"2017","journal-title":"JAMA Surg"},{"key":"R11-20231017","doi-asserted-by":"crossref","first-page":"342","DOI":"10.5489\/cuaj.693","article-title":"Enhanced recovery after surgery (ERAS) protocols: Time to change practice?.","volume":"5","author":"Melnyk","year":"2011","journal-title":"Can Urol Assoc J"},{"key":"R12-20231017","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1097\/DCR.0000000000001165","article-title":"The ALCCaS trial: A randomized controlled trial comparing quality of life following laparoscopic versus open colectomy for colon cancer.","volume":"61","author":"McCombie","year":"2018","journal-title":"Dis Colon Rectum"},{"key":"R13-20231017","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1007\/s00464-018-6079-2","article-title":"Review of emerging surgical robotic technology.","volume":"32","author":"Peters","year":"2018","journal-title":"Surg Endosc"},{"key":"R14-20231017","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1159\/000485686","article-title":"Robot-assisted transplant surgery: Vision or reality? A comprehensive review.","volume":"34","author":"Stiegler","year":"2018","journal-title":"Visc Med"}],"container-title":["Plastic &amp; Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000007368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T11:46:12Z","timestamp":1697543172000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000007368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,21]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/prs.0000000000007368","relation":{},"ISSN":["0032-1052"],"issn-type":[{"value":"0032-1052","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9,21]]}}}