Pierluigi Tos

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About

Pierluigi Tos is a pioneering figure in microsurgery, whose work has fundamentally advanced the field of reconstructive surgery. His primary research areas focus on peripheral nerve surgery, brachial plexus injuries, and the cutting-edge integration of robotic technology into microsurgical practice. Tos’s major contribution lies in his leadership of the first large-scale, multi-center clinical evaluation of open robotic-assisted microsurgery. As the lead author of the landmark 2025 consensus study—which has garnered 13 citations in its first year—he synthesized the collective experience from over 900 clinical cases across 13 European centers. This work established the first standardized guidelines for using dedicated robotic systems in open microsurgery, demonstrating their superiority in precision and tremor filtration over traditional techniques. Beyond this, Tos is renowned for his innovative approaches to nerve grafting and functional reconstruction, having authored numerous high-impact papers on peripheral nerve repair. His clinical achievements include pioneering complex brachial plexus reconstructions that have restored arm function in patients previously considered inoperable. Tos’s work bridges the gap between traditional craftsmanship and technological innovation, making him a central figure in the next generation of microsurgical practice.