Background: Microsurgical breast reconstruction is advancing rapidly with the integration of innovative technologies that enhance surgical precision, safety, and outcomes. This narrative review highlights recent developments across four key phases: flap planning, flap harvest, microvascular anastomosis, and flap monitoring.Methods: To identify the most updated and relevant data, all content on «Aesthetic and Reconstructive Breast Surgery Network» (ARBS Network, Copyright 2025 Mark Allen Group, United Kingdom) was screened regarding new technology. The contributions were grouped into one of four key phases. More references related to the content viewed were then searched on the electronic database MEDLINE (Bethesda, MD: U.S. National Library of Medicine).Results: 24 contributions regarding new technology were identified on ARBS Network. Of these, 17 were relevant for this paper. Preoperative tools such as CT angiography and AI-based perforator mapping optimize surgical planning and execution. Robotic-assisted or endoscopic techniques for deep inferior epigastric perforator (DIEP) flap harvest enable minimally invasive dissection with reduced donor-site morbidity and improved muscle preservation. Robotic microsurgery, particularly with the MUSA and Symani®Surgical System, allows for precise, tremor-free suturing of submillimeter vessels. Indocyanine green (ICG) angiography remains the gold standard for intraoperative perfusion evaluation. Postoperative flap surveillance is crucial for detecting vascular compromise early. Devices such as the Cook-Swartz Doppler probe and flow couplers offer continuous monitoring. Wireless oximetry systems like ViOptix®provide non-invasive, real-time perfusion data and support remote monitoring.Conclusions: Collectively, these innovations are transforming microsurgical breast reconstruction by increasing efficiency, consistency, and outcomes.
背景：随着创新技术的整合，显微外科乳房重建术在手术精准度、安全性及预后方面正迅速发展。本叙述性综述重点阐述了四个关键阶段的最新进展：皮瓣规划、皮瓣获取、微血管吻合及皮瓣监测。 方法：为获取最新且相关的数据，本研究筛选了《美学与重建乳房外科网络》（ARBS Network，版权所有2025 Mark Allen Group，英国）中所有涉及新技术的相关内容。这些内容被归纳至四个关键阶段之一。随后，在电子数据库MEDLINE（美国国家医学图书馆，贝塞斯达）中检索了与所阅内容相关的更多参考文献。 结果：在ARBS Network中识别出24项关于新技术的贡献，其中17项与本论文相关。术前工具如CT血管造影和基于人工智能的穿支血管定位技术优化了手术规划与实施。机器人辅助或内窥镜技术用于腹壁下动脉穿支（DIEP）皮瓣获取，实现了微创解剖，降低了供区并发症并改善了肌肉保留。机器人显微外科技术，特别是MUSA和Symani®外科系统的应用，实现了亚毫米级血管的精准无震颤缝合。吲哚菁绿（ICG）血管造影仍是术中灌注评估的金标准。术后皮瓣监测对早期发现血管问题至关重要。Cook-Swartz多普勒探头和血流耦合器等设备提供了持续监测功能。ViOptix®等无线血氧监测系统则可提供无创实时灌注数据并支持远程监控。 结论：总体而言，这些创新技术通过提升效率、一致性和预后效果，正在重塑显微外科乳房重建领域。
Redefining Reconstruction: Technological Innovations in Microsurgical Breast Reconstruction
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