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

Berikol G., Gungor A., Goztepe M. B., Ozoner B., Ayhan S., Akpinar E., ...Daha Fazla

TURKISH NEUROSURGERY, sa.22, ss.1-7, 2022 (SCI-Expanded)

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2022
  • Doi Numarası: 10.5137/1019-5149.jtn.37409-21.3
  • Dergi Adı: TURKISH NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1-7
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

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. Material and Methods: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.Results: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.Conclusion: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.