Feasibility and Current Applications of the Symani Surgical System: A Systematic Review
Background:. The application of robotics in microsurgery remains to be widely established. Currently, the Symani Surgical System (Medical Microinstruments, Pisa, Italy) remains the only commercially available robotic platform dedicated to microsurgery. This systematic review evaluated the current ev...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2025-07-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006939 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850077553437442048 |
|---|---|
| author | Yu Jin Jeong, MD Amanda E. Yung, MD Daniel Steffens, PhD Sophie Hogan, PhD Jonathan R. Clark, AM, MBiostats Sydney Ch’ng, MBBS, PhD, FRACS, FACS |
| author_facet | Yu Jin Jeong, MD Amanda E. Yung, MD Daniel Steffens, PhD Sophie Hogan, PhD Jonathan R. Clark, AM, MBiostats Sydney Ch’ng, MBBS, PhD, FRACS, FACS |
| author_sort | Yu Jin Jeong, MD |
| collection | DOAJ |
| description | Background:. The application of robotics in microsurgery remains to be widely established. Currently, the Symani Surgical System (Medical Microinstruments, Pisa, Italy) remains the only commercially available robotic platform dedicated to microsurgery. This systematic review evaluated the current evidence surrounding the Symani, including current applications, operating time and learning curve, ergonomics, limitations, and clinical outcomes.
Methods:. A comprehensive search was conducted via Ovid in MEDLINE, Embase, and the Cochrane Library from inception to September 2024. The review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and registered in PROSPERO (CRD42024616049).
Results:. The initial search identified 98 records, of which 7 preclinical and 17 clinical studies were included. All included studies were conducted within European centers, with an increasing number of publications over the last 3 years (2022, n = 3; 2023, n = 7; 2024, n = 14). Most clinical studies were case reports (n = 6) or series (n = 9). The clinical application of the Symani for lymphatic surgery (n = 7), nerve repair (n = 4), and vascular anastomosis (n = 11) have been described. Early data suggest longer anastomotic times and steep learning curves with the Symani. High rates of intraoperative anastomosis patency (>90%) have been demonstrated, but remain to be evaluated in head-to-head comparisons with conventional methods.
Conclusions:. Early clinical outcomes demonstrate the feasibility of Symani-assisted microsurgery. Comparative studies are required to assess the benefit of robotic-assisted microsurgery over conventional methods, particularly for vessels less than 0.8 mm in diameter, that is, supermicrosurgery. |
| format | Article |
| id | doaj-art-d564966ea6714699a70302b7b1eb2790 |
| institution | DOAJ |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-d564966ea6714699a70302b7b1eb27902025-08-20T02:45:46ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e693910.1097/GOX.0000000000006939202507000-00028Feasibility and Current Applications of the Symani Surgical System: A Systematic ReviewYu Jin Jeong, MD0Amanda E. Yung, MD1Daniel Steffens, PhD2Sophie Hogan, PhD3Jonathan R. Clark, AM, MBiostats4Sydney Ch’ng, MBBS, PhD, FRACS, FACS5From the * Royal Prince Alfred Hospital, Sydney, New South Wales, Australia† Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia† Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia§ Royal Prince Alfred Institute of Academic Surgery, Sydney Local Health District, Sydney, New South Wales, Australia† Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia† Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, AustraliaBackground:. The application of robotics in microsurgery remains to be widely established. Currently, the Symani Surgical System (Medical Microinstruments, Pisa, Italy) remains the only commercially available robotic platform dedicated to microsurgery. This systematic review evaluated the current evidence surrounding the Symani, including current applications, operating time and learning curve, ergonomics, limitations, and clinical outcomes. Methods:. A comprehensive search was conducted via Ovid in MEDLINE, Embase, and the Cochrane Library from inception to September 2024. The review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and registered in PROSPERO (CRD42024616049). Results:. The initial search identified 98 records, of which 7 preclinical and 17 clinical studies were included. All included studies were conducted within European centers, with an increasing number of publications over the last 3 years (2022, n = 3; 2023, n = 7; 2024, n = 14). Most clinical studies were case reports (n = 6) or series (n = 9). The clinical application of the Symani for lymphatic surgery (n = 7), nerve repair (n = 4), and vascular anastomosis (n = 11) have been described. Early data suggest longer anastomotic times and steep learning curves with the Symani. High rates of intraoperative anastomosis patency (>90%) have been demonstrated, but remain to be evaluated in head-to-head comparisons with conventional methods. Conclusions:. Early clinical outcomes demonstrate the feasibility of Symani-assisted microsurgery. Comparative studies are required to assess the benefit of robotic-assisted microsurgery over conventional methods, particularly for vessels less than 0.8 mm in diameter, that is, supermicrosurgery.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006939 |
| spellingShingle | Yu Jin Jeong, MD Amanda E. Yung, MD Daniel Steffens, PhD Sophie Hogan, PhD Jonathan R. Clark, AM, MBiostats Sydney Ch’ng, MBBS, PhD, FRACS, FACS Feasibility and Current Applications of the Symani Surgical System: A Systematic Review Plastic and Reconstructive Surgery, Global Open |
| title | Feasibility and Current Applications of the Symani Surgical System: A Systematic Review |
| title_full | Feasibility and Current Applications of the Symani Surgical System: A Systematic Review |
| title_fullStr | Feasibility and Current Applications of the Symani Surgical System: A Systematic Review |
| title_full_unstemmed | Feasibility and Current Applications of the Symani Surgical System: A Systematic Review |
| title_short | Feasibility and Current Applications of the Symani Surgical System: A Systematic Review |
| title_sort | feasibility and current applications of the symani surgical system a systematic review |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006939 |
| work_keys_str_mv | AT yujinjeongmd feasibilityandcurrentapplicationsofthesymanisurgicalsystemasystematicreview AT amandaeyungmd feasibilityandcurrentapplicationsofthesymanisurgicalsystemasystematicreview AT danielsteffensphd feasibilityandcurrentapplicationsofthesymanisurgicalsystemasystematicreview AT sophiehoganphd feasibilityandcurrentapplicationsofthesymanisurgicalsystemasystematicreview AT jonathanrclarkammbiostats feasibilityandcurrentapplicationsofthesymanisurgicalsystemasystematicreview AT sydneychngmbbsphdfracsfacs feasibilityandcurrentapplicationsofthesymanisurgicalsystemasystematicreview |