{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T12:36:23Z","timestamp":1793190983854,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The latissimus dorsi muscle is a workhorse of reconstructive surgery. Traditional harvest technique requires a long, posterior donor-site incision. Endoscopic harvest is limited by technical challenges. Robotic technology permits a simpler, minimally invasive harvest technique.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Seven consecutive robotic latissimus dorsi muscle harvests were performed by a single surgeon. Two were used as free flaps for scalp reconstruction and the remaining five as pedicled flaps for breast reconstruction; three were for immediate, implant-based reconstruction with nipple-areola complex\u2013sparing mastectomies, and two were for radiated breasts when the expander was exchanged for an implant. Harvest technique employed a short, axillary incision for pedicle dissection and two to three additional ports for robotic instrumentation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>All seven muscle flaps were harvested without converting to an open technique. Both free flaps were successfully transferred. All pedicled flaps resulted in successful breast reconstructions. Flap harvest complications included a single, temporary radial nerve palsy in the contralateral extremity, likely from positioning. There were no donor-site hematomas, seromas, or cutaneous thermal injuries. Robotic harvest time decreased from over 2 hours to about an hour over the study period.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Robotic harvest of the latissimus dorsi is a novel and effective method of muscle harvest. It offers technical advantages over endoscopic harvest and aesthetic advantages over the open technique.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CLINICAL QUESTION\/LEVEL OF EVIDENCE:<\/jats:title>\n            <jats:p>Therapeutic, IV.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/prs.0b013e31824ecc0b","type":"journal-article","created":{"date-parts":[[2013,1,2]],"date-time":"2013-01-02T17:38:35Z","timestamp":1357148315000},"page":"1305-1312","source":"Crossref","is-referenced-by-count":138,"title":["Robotic Latissimus Dorsi Muscle Harvest"],"prefix":"10.1097","volume":"129","author":[{"given":"Jesse C.","family":"Selber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald P.","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. 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Breast reconstruction after a radical mastectomy.","volume":"61","author":"Bostwick","year":"1978","journal-title":"Plast Reconstr Surg"},{"key":"R5-14-20231119","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/00006534-198105000-00010","article-title":"The latissimus dorsi muscle: A fresh cadaver study of the primary neurovascular pedicle.","volume":"67","author":"Bartlett","year":"1981","journal-title":"Plast Reconstr Surg"},{"key":"R6-14-20231119","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1097\/00006534-197912000-00004","article-title":"Vascular considerations in the use of a latissimus dorsi myocutaneous flap after a mastectomy with an axillary dissection.","volume":"64","author":"Maxwell","year":"1979","journal-title":"Plast Reconstr Surg"},{"key":"R7-14-20231119","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1002\/micr.20266","article-title":"Extremity salvage with a free musculocutaneous latissimus dorsi flap and free tendon transfer after resection of a large congenital fibro sarcoma in a 15-week-old infant: A case report.","volume":"26","author":"Germann","year":"2006","journal-title":"Microsurgery"},{"key":"R8-14-20231119","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1055\/s-0029-1236834","article-title":"Latissimus dorsirib intercostal perforator myo-osseocutaneous free flap reconstruction in composite defects of the scalp: Case series and review of literature.","volume":"25","author":"Seitz","year":"2009","journal-title":"J Reconstr Microsurg"},{"key":"R9-14-20231119","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/S0003-3944(02)00769-1","article-title":"Endoscopic harvesting of the latissimus dorsi flap in breast reconstructive surgery: Feasibility study and review of the literature.","volume":"127","author":"Pomel","year":"2002","journal-title":"Ann Chir"},{"key":"R11-14-20231119","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/S0094-1298(20)31174-3","article-title":"Endoscopic technique for free flap harvesting: Review.","volume":"22","author":"Miller","year":"1995","journal-title":"Clin Plast Surg"},{"key":"R14-14-20231119","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1089\/end.2010.0024","article-title":". Comparative analysis of global practice in urologic robot-assisted surgery.","volume":"24","author":"Yuh","year":"2010","journal-title":"J Endourol"},{"key":"R15-14-20231119","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.1016\/j.jpedsurg.2007.08.040","article-title":"The robotic approach to complex hepatobiliary analies in children: Preliminary report.","volume":"42","author":"Meehan","year":"2007","journal-title":"J Pediatr Surg"},{"key":"R16-14-20231119","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1089\/109264203322333610","article-title":"The role of robotic surgery in morbid obesity.","volume":"13","author":"Jacobsen","year":"2003","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R17-14-20231119","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.jgyn.2010.06.008","article-title":"Robotic gynecologic surgery: State of the art: Review of the literature.","volume":"39","author":"Zacharopoulou","year":"2010","journal-title":"Gynecol Obstet Biol Reprod"},{"key":"R18-14-20231119","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.1097\/PRS.0b013e3181f448e3","article-title":"Transoral robotic reconstruction of oropharyngeal defects: A case series.","volume":"126","author":"Selber","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"R19-14-20231119","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":"R20-14-20231119","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1097\/PRS.0b013e31820cf233","article-title":". Postoperative complications in prosthesis-based breast reconstruction using acellular dermal matrix.","volume":"127","author":"Liu","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"R21-14-20231119","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1097\/SAP.0b013e3181dba892","article-title":". The effect of acellular dermal matrix use on complication rates in tissue expanderimplant breast reconstruction.","volume":"64","author":"Lanier","year":"2010","journal-title":"Ann Plast Surg"}],"container-title":["Plastic &amp; Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006534-201206000-00014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T20:01:53Z","timestamp":1700424113000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006534-201206000-00014"}},"subtitle":["A Case Series"],"short-title":[],"issued":{"date-parts":[[2012,6]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.1097\/prs.0b013e31824ecc0b","relation":{},"ISSN":["0032-1052"],"issn-type":[{"value":"0032-1052","type":"print"}],"subject":[],"published":{"date-parts":[[2012,6]]}}}