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Robot-assisted anterior lumbar interbody fusion (ALIF) using retroperitoneal approach

Authors
 Minji J. Kim  ;  Yoon Ha  ;  Moon Sool Yang  ;  Do Heum Yoon  ;  Keung Nyun Kim  ;  Hoon Kim  ;  Joong Won Yang  ;  John Y. K. Lee  ;  Seong Yi  ;  Woo Joo Jung  ;  Koon Ho Rha 
Citation
 ACTA NEUROCHIRURGICA, Vol.152(4) : 675-679, 2010 
Journal Title
 ACTA NEUROCHIRURGICA 
ISSN
 0001-6268 
Issue Date
2010
MeSH
Animals ; Disease Models, Animal ; Equipment Design ; Feasibility Studies ; Lumbar Vertebrae/surgery* ; Male ; Minimally Invasive Surgical Procedures/instrumentation* ; Operating Rooms ; Retroperitoneal Space ; Robotics/instrumentation* ; Spinal Fusion/instrumentation* ; Swine ; Time and Motion Studies
Keywords
Robot ; Anterior lumbar interbody fusion ; Retroperitoneal approach
Abstract
BACKGROUND: Over the past few years, robot-assisted surgery has become increasingly popular, affecting virtually all surgical fields. It has been proven to overcome pitfalls of laparoscopic procedures, such as high complication rates and steep learning curve. We have, therefore, performed experimental anterior lumbar interbody fusion (ALIF) using retroperitoneal approach in swine model to test the feasibility of robot-assisted surgery in spinal surgery. METHOD: In this report, we describe the setup with the da Vinci surgical system, operative method, result and discuss technical aspects and the future of robot-assisted ALIF. FINDINGS: Experimental retroperitoneal dissection using robotic surgical system was successfully performed with great visual cue, minimal retraction and minimal bleeding. CONCLUSION: Although retroperitoneal approach for spinal fusion has never been attempted with robotic surgical system, we could demonstrate the possibility with swine model. Further studies and development of appropriate instruments will bring minimally invasive spine surgery to a new era.
Full Text
http://link.springer.com/article/10.1007%2Fs00701-009-0568-y
DOI
10.1007/s00701-009-0568-y
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
Kim, Hoon(김훈)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Yang, Moon Sool(양문술)
Yang, Joong Won(양중원)
Yoon, Do Heum(윤도흠) ORCID logo https://orcid.org/0000-0003-1452-5724
Yi, Seong(이성)
Jeong, Woo Ju(정우주)
Ha, Yoon(하윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101001
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