Introduction
trauma
Microsurgery allows high-precision dissection and suturing of very small anatomical structures using microscopic magnification and dedicated instrumentation. Technical advances in microscopes, manual instrumentation, and sutures allow microsurgeons to perform complex trauma and oncological reconstructions by performing free tissue transfers, nerve reconstructions, and lymphatic microsurgeryRobotic surgery expanded rapidly over the past two decades and is widely used in several surgical specialtiesThe da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA, USA) designed for laparoscopic minimally invasive surgery has been tested in some microsurgical proceduresRecently, a new robotic device (Symani Surgical System, MMI, Pisa, Italy) designed for microsurgical procedures, received CE certification in 2019. The system features dedicated wristed microinstruments, overcoming the limitations of large diameter instruments such as those used with the da Vinci system, and high-motion precisionThe purpose of this multicenter preclinical study was to evaluate the quality of microsurgical anastomoses performed with the new robotic system by comparing vessel patency, histological outcomes, and execution times, with the anastomoses performed created with the traditional manual technique.