Robot-assisted microsurgery may improve supermicrosurgical procedures, including lymphatic reconstruction mitigating fa tigue and tremor. It remains unclear whether robot-assisted supermicrosurgery, using the Symani Surgical System (Medical Microinstruments, Calci, Italy) or the MUSA (MicroSure, Eindhoven, Netherlands), surpasses conventional surgery
Lymphovenous anastomosis (LVA) treats lymphedema by creating bypasses between obstructed lymphatic vessels and nearby veins. It is primarily indicated for secondary lym phedema following cancer treatment, and can be performed in general or local anesthesia. We present our initial experience with robotic-assisted LVA using the Symani System and a shift from general to local anesthesia, enabling two patients to be operated on consecutively in one day.
Method
From 2022 to 2025, women with unilateral breast cancer related lymphedema were prospectively included. All pre sented with pitting lymphedema and symptoms such as swelling, heaviness or pain. Written informed consent was obtained in accordance with the Declaration of Helsinki.
