Kupferman Michael E, Demonte Franco, Levine Nicholas, Hanna Ehab
Skull Base. 2011 Mar;21(2):79-82. doi: 10.1055/s-0030-1261258.
The role of robotic surgery in the skull base is evolving and represents the natural progression toward maximizing surgical resections in confined spaces without compromising oncological principles. In this study, we describe the novel application of robotic surgery to the repair of dural defects in the skull base. A transmaxillary-transantral approach to the nasal cavity was performed bilaterally in a cadaveric model. Repair of the skull base defect was undertaken robotically. In this technical report, we demonstrate the feasibility of a suture-based technique for surgical reconstruction of the skull base with robotic assistance in a cadaveric model. In all cases, suture repair of dural defects was successfully performed with robotic-assisted technique. Although preliminary in nature, this study suggests that traditional suture techniques can be implemented in a confined surgical site with the use of robotic technology.
机器人手术在颅底手术中的作用正在不断发展，代表了在不违背肿瘤学原则的前提下，在有限空间内实现手术切除最大化的自然发展趋势。在本研究中，我们描述了机器人手术在颅底硬脑膜缺损修复中的新应用。在一具尸体模型上双侧采用经上颌窦-经鼻窦入路进入鼻腔。通过机器人进行颅底缺损修复。在本技术报告中，我们展示了在尸体模型中，基于缝合技术在机器人辅助下进行颅底手术重建的可行性。在所有病例中，均通过机器人辅助技术成功完成了硬脑膜缺损的缝合修复。尽管本研究本质上是初步的，但它表明传统缝合技术可借助机器人技术在有限的手术部位实施。
