Lee Z, Lee J Y K, Welch W C, Eun D
Thomas Jefferson University, Philadelphia, PA, USA.
Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
J Robot Surg. 2013 Jun;7(2):177-85. doi: 10.1007/s11701-012-0365-0. Epub 2012 Jul 22.
The goal of the study was to determine the effectiveness and safety of a novel technique in which the da Vinci S Surgical Robot (Intuitive Surgical Inc., Sunnyvale, CA, USA) was used in the dissection of the ventral lumbar spine to assist with anterior lumbar interbody fusion (R-ALIF). We performed a retrospective chart review of 11 patients who underwent R-ALIF between 2009 and 2010 at our institution. Due to variations in the surgical technique, the data were separated into three patient groups according to which disc level was operated on: L5-S1 (five patients), L4-L5 (two patients), and combined L4-L5 and L5-S1 (four patients). All patients showed radiographic evidence of fusion, and none of the procedures were converted to open. There were no intraoperative vascular complications, and no postoperative transfusions or ileus. This study shows the feasibility and safety of R-ALIF at L5-S1, L4-L5, and L4-L5 and L5-S1.
本研究的目的是确定一种新技术的有效性和安全性，该技术使用达芬奇S手术机器人（美国加利福尼亚州森尼韦尔市直观外科公司）进行腰椎前路解剖，以辅助腰椎前路椎间融合术（R-ALIF）。我们对2009年至2010年在本机构接受R-ALIF手术的11例患者进行了回顾性病历审查。由于手术技术存在差异，根据手术的椎间盘节段，将数据分为三组患者：L5-S1（5例患者）、L4-L5（2例患者）以及L4-L5和L5-S1联合（4例患者）。所有患者均有融合的影像学证据，且无一例手术转为开放手术。术中无血管并发症，术后无输血或肠梗阻情况。本研究表明，R-ALIF在L5-S1、L4-L5以及L4-L5和L5-S1节段具有可行性和安全性。
