Robotic intercostal nerve harvest: a feasibility study in a pig model
Autor: | Hideaki Miyamoto, Sybille Facca, Nicola Santelmo, Yoji Mikami, Thomas Serradori, Jesse C. Selber, Philippe Liverneaux |
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Přispěvatelé: | Laboratoire des sciences de l'ingénieur, de l'informatique et de l'imagerie (ICube), École Nationale du Génie de l'Eau et de l'Environnement de Strasbourg (ENGEES)-Université de Strasbourg (UNISTRA)-Institut National des Sciences Appliquées - Strasbourg (INSA Strasbourg), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de Recherche en Informatique et en Automatique (Inria)-Les Hôpitaux Universitaires de Strasbourg (HUS)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS) |
Rok vydání: | 2016 |
Předmět: |
Microsurgery
medicine.medical_specialty Swine medicine.medical_treatment Sus scrofa Axillary lines Intercostal nerves 030230 surgery Neurosurgical Procedures 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Animals Medicine Brachial Plexus Major complication Nerve Transfer Neurolysis business.industry Pig model [PHYS.MECA]Physics [physics]/Mechanics [physics] General Medicine Anatomy Plastic Surgery Procedures Thorax Surgery 030220 oncology & carcinogenesis Feasibility Studies Intercostal Nerves business Surgical robot Brachial plexus |
Zdroj: | Journal of Neurosurgery Journal of Neurosurgery, 2016, 124 (1), ⟨10.3171/2015.1.jns14603⟩ |
ISSN: | 1933-0693 0022-3085 |
DOI: | 10.3171/2015.1.jns14603 |
Popis: | The aim of this study was to report the feasibility of robotic intercostal nerve harvest in a pig model. A surgical robot, the da Vinci Model S system, was installed after the creation of 3 ports in the pig’s left chest. The posterior edges of the fourth, fifth, and sixth intercostal nerves were isolated at the level of the anterior axillary line. The anterior edges of the nerves were transected at the rib cartilage zone. Three intercostal nerve harvesting procedures, requiring an average of 33 minutes, were successfully performed in 3 pigs without major complications. The advantages of robotic microsurgery for intercostal nerve harvest include elimination of physiological tremor, free movement of joint-equipped robotic arms, and amplification of the surgeon’s hand motion by as much as 5 times. Robot-assisted neurolysis may be clinically useful for intercostal nerve harvest for brachial plexus reconstruction. |
Databáze: | OpenAIRE |
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