Bijon C, Chih-Sheng L, Chevallier D, Tran N, Xavier F, Liverneaux P
Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
Division of plastic and reconstructive surgery, department of surgery, Taichung veterans general hospital, Taiwan.
Ann Chir Plast Esthet. 2018 Feb;63(1):86-90. doi: 10.1016/j.anplas.2017.05.004. Epub 2017 Jun 16.
Controlateral C7 nerve root transfer in brachial plexus palsy requires a nerve graft and large incisions. This study investigated the feasibility of transferring the right C7 to the left C7 nerve root, without a graft, via a minimally invasive retropharyngeal approach. After installation of 6 trocars of 1cm diameter in the supraclavicular space, a Da Vinci SI robot was placed. After locating the right brachial plexus, the C7 root was sectioned flush with the clavicle, transferred behind the pharynx and sutured to the left C7 root severed at the foramen level. The duration of the procedure was 2h40min. No technical difficulties were encountered. The hypothesis of this work was verified since it was possible to carry out a transfer of the right C7 root on the left C7 root by direct retropharyngeal suture without graft and by a minimally invasive technique.
臂丛神经麻痹中对侧C7神经根转移术需要神经移植和大切口。本研究探讨了通过微创经咽后入路将右侧C7神经根转移至左侧C7神经根而无需移植的可行性。在锁骨上间隙置入6根直径1cm的套管针后，放置一台达芬奇SI机器人。定位右侧臂丛神经后，将C7神经根在锁骨水平平齐切断，经咽后转移并缝合至在椎间孔水平切断的左侧C7神经根。手术持续时间为2小时40分钟。未遇到技术困难。本研究的假设得到了验证，因为可以通过直接经咽后缝合且无需移植的微创技术将右侧C7神经根转移至左侧C7神经根。
