Minimally Invasive Harvest of the Latissimus Dorsi Flap for Breast Reconstruction: A Systematic Review. The international journal of medical robotics + computer assisted surgery : MRCAS Escandon, J. M., Nazerali, R., Ciudad, P., Lo Torto, F., Maruccia, M., Butterfield, J. A., Vizcay, M., Galan, N., Manrique, O. J. 2022: e2446

Abstract

BACKGROUND: Poor cosmetic results with oncoplastic and implant-based breast reconstruction have stimulated an interest in latissimus dorsi flap (LDF)-based reconstruction. We reviewed the surgical techniques and outcomes of the LDF harvested with minimally invasive surgery.METHODS: A systematic search was conducted across PubMed-MEDLINE, Web of Science, Scopus, and Ovid-MEDLINE(R). Data on surgical outcomes were extracted.RESULTS: Thirty-one articles were included reporting on 857 reconstructive procedures using a LDF harvested, 497 were endoscopic-assisted LDF (EALDF)(58%) and 174 were robotic-assisted LDF (RALDF)(20.3%). The average flap harvest time was 84.04-min for EALDF and 106.14-min for RALDF. With an EALDF, the incidence of hematoma, seroma, and wound dehiscence ranged between 0%-16.6%, 0%-48%, and 0-6.2%, respectively. Using RALDF, the incidence of seroma was between 0-26.1% and 0-3.4% for hematoma.CONCLUSIONS: While the indications for a LDF harvested with MIS are limited, its main advantage for breast reconstruction is the absence of the back scar. This article is protected by copyright. All rights reserved.

View details for DOI 10.1002/rcs.2446

View details for PubMedID 35975324