文章简介

出版社:Spine

作   者:Beutler WJ, Peppelman WC Jr, DiMarco LA

编   号:10.1097/BRS.0b013e31826b3d72.

年   份:2013    点击量:629

文章摘要 全文翻译

STUDY DESIGN

        Technique development to use the da Vince Robotic Surgical System for anterior lumbar interbody fusion at L5-S1 is detailed. A case report is also presented.
研究设计

        本文详细介绍采用达芬奇手术系统进行L5-S1前路腰椎椎体间融合术的技术发展并报道一例报告。

 

OBJECTIVE

        To evaluate and develop the da Vinci robotic assisted laparoscopic anterior lumbar stand-alone interbody fusion procedure.

目的

        本文旨在评估和开发达芬奇机器人辅助腹腔镜下前路腰椎单纯椎间融合术。

 

SUMMARY OF BACKGROUND DATA

        Anterior lumbar interbody fusion is a common procedure associated with potential morbidity related to the surgical approach. The da Vinci robot provides intra-abdominal dissection and visualization advantages compared with the traditional open and laparoscopic approach.

背景资料概述

        前路腰椎椎体间融合术是一种常见的手术,也存在与手术入路相关的潜在并发症。与传统的开放性腹腔镜手术相比,达芬奇机器人手术可提供腹内解剖和可视化优势。

METHODS

        The surgical techniques for approach to the anterior lumbar spine using the da Vinci robot were developed and modified progressively beginning with operative models followed by placement of an interbody fusion cage in the living porcine model. Development continued to progress with placement of fusion cage in a human cadaver, completed first in the laboratory setting and then in the operating room. Finally, the first patient with fusion completed using the da  Vinci robot-assisted approach is presented.

方法

        自从应用达芬奇机器人在活猪模型放置椎间融合器后,该手术方法在腰椎前路手术中逐渐得到开发和改进。先在人尸体内放置融合器操作,首先在实验室完成,随后在手术室完成。最终,第一例患者使用达芬奇机器人辅助完成了融合手术。

 

RESULTS

        The anterior transperitoneal approach to the lumbar spine is accomplished with enhanced visualization and dissection capability, with maintenance of pneumoperitoneum using the da Vinci robot. Blood loss is minimal. The visualization inside the disc space and surrounding structures was considered better than current open and laparoscopic techniques.

结果

        经腹腔到达腰椎的方法可通过维持气腹的状态下,利用改进的显示系统和解剖工具,使用达芬奇机器人完成。其失血最少,椎间隙内和周围结构的可视化技术被认为比目前的开放式和腹腔镜技术更好。

 

CONCLUSION

        The da Vinci robot Surgical System technique continues to develop and is now described for the transperitoneal approach to the anterior lumbar spine.

结论

        达芬奇机器人手术技术仍在发展中,目前可用于经腹腔到达前腰椎的手术。