Extreme lateral lumbar interbody fusion surgery with a robot-assisted system in a swine model

Autor: Gurkan Berikol, Abuzer Gungor, Mehmet Berke Goztepe, Baris Ozoner, Selim Ayhan, Ebubekir Akpinar, Cagri Canbolat, Mehmet Emin Aksoy, Murat Sakir Eksi
Rok vydání: 2022
Předmět:
Zdroj: Turkish Neurosurgery.
ISSN: 1019-5149
DOI: 10.5137/1019-5149.jtn.37409-21.3
Popis: This study aimed to evaluate the technical aspects of the Da Vinci Xi Surgical System in minimally invasive extreme lateral lumbar interbody fusion (XLIF) surgery in a swine model.Endoscopic discectomy and XLIF cage insertion were performed using a robot-assisted system. The time taken and the pros and cons of each step were recorded.Operative time was 80 min. For the surgery, four ports were used: one for the endoscope camera, two for bipolar forceps, and one auxiliary port modified for discectomy. Discectomy was performed using a punch and curette, following which the cage was inserted through the auxiliary port. Cage position was manipulated using the C-arm. No complications or cage malposition's were noted during the procedure.This study shows that the robot-assisted XLIF approach is safe and feasible, and it protected the neurovascular structures. High image quality was also obtained during the procedure.
Databáze: OpenAIRE