Neurosurgery Department, CHU de Reims, 45 rue Cognacq Jay, 51100, Reims, France.
Neurosurgery Department, Hôpital de la Timone, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint-Pierre, 13005, Marseille, France.
Acta Neurochir (Wien). 2023 Sep;165(9):2711-2716. doi: 10.1007/s00701-023-05676-6. Epub 2023 Jun 27.
Minimally invasive approaches for lumbar fusion are aimed at reducing soft tissue injury in order to minimize surgical morbidity and facilitate recovery.
Applied to oblique lateral lumbar interbody fusion (OLIF), Da Vinci robot (DVR) assistance can help specially in obese patients. Positioning and important anatomical landmarks are reviewed. Indications, advantages, and limitations are discussed, and a step-by-step description of the procedure is presented. OLIF can be achieved efficiently through this approach with lesser blood loss, shorter hospital stays, and reduced rate of general complications.
The use of DVR assistance for OLIF is a promising new technique.
腰椎融合的微创方法旨在减少软组织损伤,以尽量减少手术发病率并促进康复。
达芬奇机器人(DVR)辅助应用于斜外侧腰椎椎间融合术(OLIF),可特别有助于肥胖患者。我们回顾了定位和重要的解剖标志。讨论了适应证、优点和局限性,并介绍了该手术的分步描述。通过这种方法,OLIF 可以高效地完成,术中出血量更少,住院时间更短,总体并发症发生率更低。
达芬奇机器人辅助 OLIF 的应用是一种很有前途的新技术。