The Role of Virtual Surgical Planning in the Era of Robotic Surgery

Abstract

Among various surgical methods introduced to optimize esthetic results, robotic surgery has gradually expanded in scope. As incision, approach, and operation view in robotic surgery differ from existing surgical methods, we should consider reconstruction from a different perspective. We recently experienced two mandibular reconstruction cases after tumor ablative surgery with robotic neck dissection using the conventional reconstruction method and virtual surgical planning (VSP), respectively. We found that the conventional reconstruction method is inappropriate in modified facelift incision in robotic neck dissection because it provides limited surgical scope, restricts access to the defect area, and therefore, consumes considerable time before anastomosis. For these reasons, the authors consider VSP far more viable in the era of robotic surgery.

Robótica na cirurgia odontológica: Revisão integrativa

“…A aplicação da robótica na cirurgia se mostrou eficaz em implantodontia, no tratamento de câncer de cabeça e pescoço, tratamento de neuralgia do trigêmeo e tratamento de pequenas lesões no seio piriforme e osteotomias, de acordo com os estudos de Reddy et al (2015) e Mazerolle et al (2018). Além das aplicações práticas já citadas, Sun et al (2020), Ghai, et al (2018) e Kim et al (2016) também ressaltam a eficácia da robótica no planejamento cirúrgico, através do VSP (Virtual Surgical Planning) e da impressão 3D de modelos anatômicos.…”

“…Os robôs na odontologia são destaques por apresentarem um bom controle em relação a sua precisão, rápida recuperação funcional pós-operatória e baixa morbidade cirúrgica, como pode ser observado nas citações de autores como Liu et al (2017), Borumandi et al (2018) e Kim et al (2016). Além disso, alguns artigos, como o de Borumandi et al (2018), relataram que os procedimentos assistidos por robôs reduzem a duração da internação hospitalar, quando comparadas ao tratamento comum, sendo considerada uma alternativa segura, efetiva e potencialmente econômica, sendo o seu custo-benefício evidente.…”

Application of computer-assisted surgery techniques in the management of zygomatic complex fractures

“… 57 The incision, approach, and operation view in robotic surgery differ from existing surgical methods. 58 Due to the implement of connection between robotic system and the endoscopic, the intraoperative imaging of the patient's anatomy and the location coordinate of the robot can be fed back to the surgeons in real-time. It seems that any challenging and high-risk surgical procedures are possible by using surgical robots and telemanipulators.…”

Robotic surgical systems in maxillofacial surgery: a review

“…Moreover, the studies mentioned above also showed that robotic reconstruction surgery has a shorter operative time, better functional recovery and more satisfactory aesthetics than conventional surgery. Kim 109 performed a mandibular reconstruction with a fibular flap using a robotic surgical system combined with simultaneous virtual surgical planning (VSP). His results indicated that robotic surgery with VSP may have a higher flap survival rate than conventional surgery, with less time and effort.…”