Nerve Transfer to the Deltoid Muscle Using the Nerve to the Long Head of the Triceps with the da Vinci Robot: Six Cases

Miyamoto, Hideaki; Leechavengvongs, Somsak; Atik, T.; Facca, S.; Liverneaux, Philippe

doi:10.1055/s-0033-1361927

Cited by 29 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There have been many preclinical studies conducted on animal and human cadaveric models discussing the feasibility of robotic-assisted peripheral nerve surgery, and clinical studies on the use of robot have been performed mostly on brachial plexus reconstructions. 15,19,25 In 2011, Mantovani et al performed the first exploration of supraclavicular brachial plexus and upper trunk reconstruction with nerve graft on a human cadaveric model. 26 In 2012, Garcia et al demonstrated three clinical brachial plexus reconstructions with robotic surgery, 27 two Chuang's level I avulsions from C6-T1 and C5-T1 and a C5-7 rupture.…”

Section: Brachial Plexus Reconstruction (►Table 1)mentioning

confidence: 99%

Robotic-Assisted Peripheral Nerve Surgery: A Systematic Review

Chen

Goh

Goh³

et al. 2021

J Reconstr Microsurg

View full text Add to dashboard Cite

Background Robotic-assisted techniques are a tremendous revolution in modern surgery, and the advantages and indications were well discussed in different specialties. However, the use of robotic technique in plastic and reconstructive surgery is still very limited, especially in the field of peripheral nerve reconstruction. This study aims to identify current clinical applications for peripheral nerve reconstruction, and to evaluate the advantages and disadvantages to establish potential uses in the future. Methods A review was conducted in the literatures from PubMed focusing on currently published robotic peripheral nerve intervention techniques. Eligible studies included related animal model, cadaveric and human studies. Reviews on robotic microsurgical technique unrelated to peripheral nerve intervention and non-English articles were excluded. The differences of wound assessment and nerve management between robotic-assisted and conventional approach were compared. Results Total 19 studies including preclinical experimental researches and clinical reports were listed and classified into brachial plexus reconstruction, peripheral nerve tumors management, peripheral nerve decompression or repair, peripheral nerve harvesting, and sympathetic trunk reconstruction. There were three animal studies, four cadaveric studies, eight clinical series, and four studies demonstrating clinical, animal, or cadaveric studies simultaneously. In total 53 clinical cases, only 20 (37.7%) cases were successfully approached with minimal invasive and intervened robotically; 17 (32.1%) cases underwent conventional approach and the nerves were intervened robotically; 12 (22.6%) cases converted to open approach but still intervened the nerve by robot; and 4 (7.5%) cases failed to approach robotically and converted to open surgery entirely. Conclusion Robotic-assisted surgery is still in the early stage in peripheral nerve surgery. We believe the use of the robotic system in this field will develop to become popular in the future, especially in the fields that need cooperation with other specialties to provide the solutions for challenging circumstances.

show abstract

Section: Brachial Plexus Reconstruction (►Table 1)mentioning

confidence: 99%

Robotic-Assisted Peripheral Nerve Surgery: A Systematic Review

Chen

Goh

Goh³

et al. 2021

J Reconstr Microsurg

View full text Add to dashboard Cite

show abstract

“…Most recently, robot-assisted neurotization of deltoid muscle using the nerve to the long head of the triceps was described as a feasible application for the restoration of shoulder abduction after brachial plexus or axillary nerve injury. [7] These results demonstrate that telemicrosurgery allows very safe and precise peripheral nerve repairs by counteracting physiological tremor and by improving the view of the surgical field.…”

Section: What Has Been Done Until Now?mentioning

confidence: 69%

Endoscopic telemicrosurgery or minimally invasive robotically-assisted microsurgery for peripheral nerve repair

et al. 2015

Self Cite

View full text Add to dashboard Cite

Microsurgery comprises a variety of surgical procedures such as neurovascular anastomoses, performed under optical magnification and with fine instrumentation. While refinements have been made since its advent in the 1960s, robotics offers the potential for major technological advancement. Endoscopic telemicrosurgery is minimally invasive, robotically-assisted microsurgery. This technique removes some limitations of conventional microsurgery and enhances visual and manual dexterity. Vision is enhanced through greater magnification, three-dimensionality, and functionalization, all through an endoscopic view. Manual dexterity is improved by suppression of physiological tremor and tremor filtration, while permitting useful enhancement of movement amplitudes and tactile feedback forces. Furthermore, better endoscopic ergonomics, new hand tools and the ability for multi-manual and remote work, confer a distinct advantage. Endoscopic telemicrosurgery is already in clinical use. Some of the advantages above are incorporated into the DaVinci ® robot, that is, used in brachial plexus surgery. Conventional brachial plexus surgery requires large incisions for exploration and neurotization, with its attending risks of unsightly scars, prolonged hospital stay, sepsis, and perineural adhesions that interfere with nerve regrowth. Endoscopic telemicrosurgery limits the incisions and these risks, with minimal compromise. Endoscopic telemicrosurgery, through the amplification of human capabilities may pave the way for a major advancement in the microsurgical field.

show abstract

“…First, when performing electromyography, the axillary‐innervated variation of the LHT may cause misdiagnosing axillary neuropathy as posterior cord lesion or cervical radiculopathy. Second, the nerve to the LHT, which is considered as a potential donor for nerve transfer in upper brachial plexus injuries, 21‐24 might not be an appropriate source for this nerve transfer technique if it is derived from the axillary nerve. Therefore, preoperative electromyography should include the LHT to confirm whether the nerve to the LHT could be a proper donor for nerve transfer.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the nerves to the teres minor and the long head of the triceps brachii for electromyography

et al. 2020

View full text Add to dashboard Cite

Background We investigated the branching pattern and topographic anatomy of the nerves to the teres minor (Tm) and the long head of the triceps brachii (LHT) in relation to reference lines extending between surface landmarks, to identify the innervation patterns of, and the optimal needle placement points within, the Tm and the LHT. Methods The anatomical courses of the nerves to the Tm and the LHT were investigated in 37 upper limbs of fresh‐frozen cadavers. Distances from the acromion to nerve penetration points, and crossing points of reference lines with the Tm and LHT were measured in 27 cadaveric upper limbs. Results The Tm was innervated by the axillary nerve in all specimens in three patterns, and the LHT was innervated exclusively by the radial nerve. Our dissection and measurements indicate that the midpoint of the reference line from the acromion to the inferior angle of the scapula is the optimal needle insertion point for the Tm. The target point for the LHT appears to be the one‐third point of the reference line from the acromion to the medial epicondyle, or the two‐thirds point of the reference line from the acromion to the axillary fold. Conclusions We investigated the branching pattern of the nerves to the Tm and the LHT and propose optimal needle placement points for electromyography of the Tm and LHT.

show abstract

Nerve Transfer to the Deltoid Muscle Using the Nerve to the Long Head of the Triceps with the da Vinci Robot: Six Cases

Cited by 29 publications

References 20 publications

Robotic-Assisted Peripheral Nerve Surgery: A Systematic Review

Robotic-Assisted Peripheral Nerve Surgery: A Systematic Review

Endoscopic telemicrosurgery or minimally invasive robotically-assisted microsurgery for peripheral nerve repair

Anatomy of the nerves to the teres minor and the long head of the triceps brachii for electromyography

Contact Info

Product

Resources

About