Robot-assisted anterior lumbar interbody fusion (ALIF) using retroperitoneal approach

Kim, Minji J.; Ha, Yoon; Yang, Moon Sool; Yoon, Do Heum; Kh, Kim; Kim, Hoon; Yang, Joong Won; Lee, John Y.K.; Yi, Seong; Jung, Woo Joo; Rha, Koon Ho

doi:10.1007/s00701-009-0568-y

Cited by 43 publications

(30 citation statements)

References 19 publications

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“…The few applications to date have been largely restricted to spinal instrumentation. 2,9,17,27 The clinical, institutional, and economic benefits of minimally invasive surgery have been extensively described in the neurosurgical literature. 13,14,21,24 The 2 cases featured in this report demonstrate that robot-assisted thoracoscopic resection is an effective therapy for certain paravertebral schwannomas in both the high superior and low inferior posterior mediastinum with excellent perioperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Pacchiarotti

Wang²,

Kolcun³

et al. 2017

Neurosurgical Focus

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Solitary paravertebral schwannomas in the thoracic spine and lacking an intraspinal component are uncommon. These benign nerve sheath tumors are typically treated using complete resection with an excellent outcome. Resection of these tumors is achieved by an anterior approach via open thoracotomy or minimally invasive thoracoscopy, by a posterior approach via laminectomy, or by a combination of both approaches. These tumors most commonly occur in the midthoracic region, for which surgical removal is usually straightforward. The authors of this report describe 2 cases of paravertebral schwannoma at extreme locations of the posterior mediastinum, one at the superior sulcus and the other at the inferior sulcus of the thoracic cavity, for which the usual surgical approaches for safe resection can be challenging. The tumors were completely resected with robot-assisted thoracoscopic surgery. This report suggests that single-stage anterior surgery for this type of tumor in extreme locations is safe and effective with this novel minimally invasive technique.

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Section: Discussionmentioning

confidence: 99%

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Pacchiarotti

Wang²,

Kolcun³

et al. 2017

Neurosurgical Focus

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“…Our group has described some of the da Vinci system's disadvantages based on our previous, preclinical work [13,16] , but the details of its current limitations came into clearer view after our first attempt at a clinical intervention. The lack of instruments for bony dissection is the first limitation.…”

Section: Discussionmentioning

confidence: 99%

“…We followed this work with cadaver work in the spine [13] and then proceeded with this case under an IRB protocol. In addition, our group has carefully used the da Vinci robot in applications in the lumbar spine as well [16] . The experience of this surgery, invaluable as a source of improvements and ideas, has clarified limitations of the da Vinci robot and highlighted its capabilities.…”

Section: Discussionmentioning

confidence: 99%

Da Vinci Robot-Assisted Transoral Odontoidectomy for Basilar Invagination

Lee¹,

Lega²,

Bhowmick³

et al. 2010

ORL

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The transoral approach is an effective way to decompress the craniocervical junction due to basilar invagination. This approach has been described and refined, but significant limitations and technical challenges remain. Specifically, should the transoral route be used for intradural pathology, such as a meningioma, or should an inadvertent durotomy occur during extradural dissection, achieving a watertight closure of the dura in such a deep and narrow working channel is limited with the current microscopic and endoscopic techniques. Even closure of the posterior pharyngeal mucosa can be challenging, and problems with wound dehiscence encountered in some case series may be attributable to this difficulty. These problems, and the corollary aversion to the procedure felt by many neurosurgeons, led our group to investigate an alternative approach.

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“…Table 1 illustrates the variety of cadaveric studies that have been performed and their characteristics. 18,19,21,[25][26][27]38,40 Whereas many published studies consisted of 1-2 cadavers, Togawa et al 42 reported on the placement of lumbosacral pedicle screws, translaminar facet screws, and was assessed separately; they had all been placed successfully, with an overall average deviation of 1.03 ± 0.59 mm. In the translaminar facet instrumentation surgery, the overall average K-wire deviation was 1.05 ± 0.56 mm.…”

Section: Cadaveric Studies Of Robot-assisted Spine Surgerymentioning

confidence: 99%

Robotics and the spine: a review of current and ongoing applications

Shweikeh¹,

Amadio

Arnell³

et al. 2014

FOC

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T echnological advances have revolutionized spine surgery over the past 20 years. Many of these developments have been centered on the innovations of new technology implants and minimally invasive spine surgery. The goals of these improvements have been to balance the maintenance of a high degree of precision, to minimize risks of damage to neurovascular structures, to facilitate surgeon access and operating room dynamics, and to diminish harmful exposure to ionizing radiation in patients and the operative team. Because the risks associated with spine surgery are plentiful and limiting complications is imperative, implementing a robot-assisted technique has the potential to address many concerns associated with conventional surgery.Robotic systems have been used in multiple surgical disciplines including gynecology, urology, and general surgery. In the last decade we have seen the application of this technology to spine surgery. Robots can potentially help with all matters of spine surgery including the following: precision in spinal instrumentation, eliminating dural and neurovascular injuries, minimizing exposure to radiation, and improving operating room workflow. 5At the same time, the technology affords the surgeon a significant improvement in coordination, 3D visualization, and a reduction in fatigue, and it offers the patient a smaller incision, lower risk of infections, minimal muscle retraction and thus postoperative pain, and shortened length of hospital stay. 16 Apart from screw and rod insertion, the technology has been applied to other forms of spine operations and pathological conditions including tumor resections and ablations, vertebroplasties, and anesthetic blocks. This article provides an overview and update on the utility of robotics in spine surgery and spine biomechanics testing. MethodsUsing the National Library of Medicine search enRobotics and the spine: a review of current and ongoing applications Object. Robotics in the operating room has shown great use and versatility in multiple surgical fields. Robotassisted spine surgery has gained significant favor over its relatively short existence, due to its intuitive promise of higher surgical accuracy and better outcomes with fewer complications. Here, the authors analyze the existing literature on this growing technology in the era of minimally invasive spine surgery.Methods. In an attempt to provide the most recent, up-to-date review of the current literature on robotic spine surgery, a search of the existing literature was conducted to obtain all relevant studies on robotics as it relates to its application in spine surgery and other interventions.Results. In all, 45 articles were included in the analysis. The authors discuss the current status of this technology and its potential in multiple arenas of spinal interventions, mainly spine surgery and spine biomechanics testing.Conclusions. There are numerous potential advantages and limitations to robotic spine surgery, as suggested in published case reports and in retrospective and prosp...

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Robot-assisted anterior lumbar interbody fusion (ALIF) using retroperitoneal approach

Abstract: Although retroperitoneal approach for spinal fusion has never been attempted with robotic surgical system, we could demonstrate the possibility with swine model. Further studies and development of appropriate instruments will bring minimally invasive spine surgery to a new era.

Cited by 43 publications

References 19 publications

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Da Vinci Robot-Assisted Transoral Odontoidectomy for Basilar Invagination

Robotics and the spine: a review of current and ongoing applications

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