Neurosurgery, Spine and spinal cord Research Institute, Yonsei University College of Medicine, Seodaemun-gu, Seoul 120-752, South Korea.
Acta Neurochir (Wien). 2010 Apr;152(4):675-9. doi: 10.1007/s00701-009-0568-y. Epub 2009 Dec 4.
Over the past few years, robot-assisted surgery has become increasingly popular, affecting virtually all surgical fields. It has been proven to overcome pitfalls of laparoscopic procedures, such as high complication rates and steep learning curve. We have, therefore, performed experimental anterior lumbar interbody fusion (ALIF) using retroperitoneal approach in swine model to test the feasibility of robot-assisted surgery in spinal surgery.
In this report, we describe the setup with the da Vinci surgical system, operative method, result and discuss technical aspects and the future of robot-assisted ALIF.
Experimental retroperitoneal dissection using robotic surgical system was successfully performed with great visual cue, minimal retraction and minimal bleeding.
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.
在过去的几年中，机器人辅助手术变得越来越流行，几乎影响了所有外科领域。它已被证明可以克服腹腔镜手术的缺陷，例如高并发症发生率和陡峭的学习曲线。因此，我们在猪模型中进行了经腹膜后入路的实验性前路腰椎体间融合（ALIF），以测试机器人辅助脊柱手术的可行性。
在本报告中，我们描述了达芬奇手术系统的设置、手术方法、结果，并讨论了机器人辅助 ALIF 的技术方面和未来。
使用机器人手术系统成功地进行了实验性腹膜后解剖，具有出色的视觉提示、最小的牵开和最小的出血。
尽管机器人手术系统从未尝试用于脊柱融合的腹膜后入路，但我们可以通过猪模型证明其可能性。进一步的研究和适当器械的开发将使微创脊柱手术进入一个新时代。
