Application of a newly designed microfork probe for robotic-guided pelvic intraoperative neuromapping.

Autor: Schiemer JF; Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany., Juo YY; Department of Surgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA., Sanaiha Y; Department of Surgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA., Lin AY; Department of Surgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA., Kazanjian K; Department of Surgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA., Lang H; Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany., Kneist W; Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Jazyk: angličtina
Zdroj: Journal of minimal access surgery [J Minim Access Surg] 2019 Apr-Jun; Vol. 15 (2), pp. 182-183.
DOI: 10.4103/jmas.JMAS_12_18
Abstrakt: Introduction: Robotic-assisted total mesorectal excision (TME) with pelvic intraoperative neuromapping was recently accomplished. However, neuromapping is conventionally conducted by a hand-guided laparoscopic probe. We introduce a prototype microfork probe to make robotic-guided neuromapping feasible.
Experiments and Technical Setup: Two porcine experiments with nerve-sparing TME surgery were performed. A newly designed prototype bipolar microfork probe was inserted intraabdominally and guided with the robotic forceps. Intermittent neuromapping was then conducted and neuromonitoring data integrated in the surgeon console viewer.
Conclusion: Robotic-guided neuromapping is shown to be feasible and fully controllable from the surgeon console.
Competing Interests: None
Databáze: MEDLINE
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