Telerobotic Manipulation of the Brachial Plexus

Garcia, José Carlos; Lebailly, F.; Mantovani, Gustavo; Mendonca, Leonardo Alves; Garciá, J I Landa; Liverneaux, Philippe

doi:10.1055/s-0032-1313761

Cited by 32 publications

(23 citation statements)

References 13 publications

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“…Epineural nerve repair using robotic assistance has been shown to be technically feasible in animal models, with the benefits of reduced physiological tremor and improved vision of the surgical field noted ( 35 ). Nerve harvest has also been demonstrated to be feasible in cadaveric and animal models ( 35 , 37 ).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery—From Inception to the Future

et al. 2017

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BackgroundThe use of robots in surgery has become commonplace in many specialties. In this systematic review, we report on the current uses of robotics in plastic and reconstructive surgery and looks to future roles for robotics in this arena.MethodsA systematic literature search of Medline, EMBASE, and Scopus was performed using appropriate search terms in order to identify all applications of robot-assistance in plastic and reconstructive surgery. All articles were reviewed by two authors and a qualitative synthesis performed of those articles that met the inclusion criteria. The systematic review and results were conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines.ResultsA total of 7,904 articles were identified for title and abstract review. Sixty-eight studies met the inclusion criteria. Robotic assistance in plastic and reconstructive surgery is still in its infancy, with areas such as trans-oral robotic surgery and microvascular procedures the dominant areas of interest currently. A number of benefits have been shown over conventional open surgery, such as improved access and greater dexterity; however, these must be balanced against disadvantages such as the lack of haptic feedback and cost implications.ConclusionThe feasibility of robotic plastic surgery has been demonstrated in several specific indications. As technology, knowledge, and skills in this area improve, these techniques have the potential to contribute positively to patient and provider experience and outcomes.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery—From Inception to the Future

et al. 2017

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“…The interest of the endoscopic technique is a share in the cosmetic aspect, and second in respect of the perineural environment. 20,21 Scar 1 cm perineural fibrosis causes less scarring than 15 cm, as in the series of Leechavengvongs et al 2 Reasons for failure of the endoscopic technique could be explained by the number of incisions, absence of sensory feedback, and limited dissection space. In upper limb surgery, the limited working space with multiple portals can be responsible for mechanical conflict between the arms of the robot.…”

Section: Discussionmentioning

confidence: 98%

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

Miyamoto

Leechavengvongs

Atik

et al. 2014

J reconstr Microsurg

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The advantages of robotic microsurgery are motion scaling and disappearance of physiological tremor. Reasons for failure of the endoscopic technique could be explained by insufficient pressure. We had no difficulty using the robot without the sensory feedback. The robot-assisted nerve transfer to deltoid muscle using the nerve to the long head of the triceps was a feasible application for restoration of shoulder abduction after brachial plexus or axillary nerve injury. Therapeutic Study. Level of Evidence IV.

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“…Orthopaedic surgery has just recently added this technology for open brachial plexus reconstruction, 14 as well as microsurgical nerve procedures. 13,15,16 The advantages of robotic surgery are as follows: (1) Tremor filtration makes the surgical procedure stable (6) Ergonomics is improved because the surgeon is out of the surgical field, seated in a comfortable position.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Robotic Decompression of the Ulnar Nerve at the Elbow

Garcia

Montero

2014

Arthroscopy Techniques

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Ulnar nerve entrapment can be treated by a number of surgical techniques when necessary. Endoscopic techniques have recently been developed to access the ulnar nerve by use of a minimally invasive approach. However, these techniques have been considered difficult and, many times, dangerous procedures, reserved for experienced elbow arthroscopic surgeons only. We have developed a new endoscopic approach using the da Vinci robot (Intuitive Surgical, Sunnyvale, CA) that may be easier and safer. Standardization of the technique was previously developed in cadaveric models to achieve the required safety, reliability, and organization for this procedure, and the technique was then used in a live patient. In this patient the nerve entrapment symptoms remitted after the surgical procedure. The robotic surgical procedure presented a cosmetic advantage, as well as possibly reduced scar formation. This is the first note on this surgical procedure; the procedure needs to be tested and even evolved until a state-of-the-art standard is reached.

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Telerobotic Manipulation of the Brachial Plexus

Cited by 32 publications

References 13 publications

A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery—From Inception to the Future

A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery—From Inception to the Future

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

Endoscopic Robotic Decompression of the Ulnar Nerve at the Elbow

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