fig1

Figure 1. Presentation of a robotic-assisted lymphovenous anastomosis performed with the Symani Surgical System®. (A): 0.5 mm lymphatic vessel (above) and 0.5 mm vein (below) after intradermal injection of 0.2 mL Indocyanine green (ICG)/patent blue. (B): Proximal transection of the lymphatic and distal transection of the vein for end-to-end anastomosis. An intravascular stent (IVAS) was used for vessel stabilization during anastomosis. (C): Robot-assisted lymphovenous anastomosis with Nylon 11-0 showing good patency. (D): Fluorescent mode confirming lymphatic flow of ICG into the vein.