Robot-Assisted Transoral Odontoidectomy : Experiment in New Minimally Invasive Technology, a Cadaveric Study

Yang, Moon Sul; Yoon, Tae Ho; Yoon, Do Heum; Kh, Kim; Pennant, William A.; Ha, Yoon

doi:10.3340/jkns.2011.49.4.248

Cited by 21 publications

(10 citation statements)

References 24 publications

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“…Exposure limitations can be circumvented by enlarging the approach via transmandibular extension [ 16 , 17 ] or Le Fort osteotomies [ 18 , 19 ], but these approaches concluded with more invasion to the patient than the conventional transoral approach. Nowadays robotic surgery (da Vinci) might be one of the future options [ 20 ] to resolve these disadvantages, and one more option is endoscopic surgery. Three different approaches of the endoscopic odontoidectomy were reported [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Full-Endoscopic Transcervical Ventral Decompression for Pathologies of Craniovertebral Junction: Case Series

Ohara

Nakajima

Kimura³

et al. 2020

Neurospine

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Odontoidectomy is very effective for the decompression of the ventral craniovertebral junction (CVJ). Various approaches are available for the direct ventral decompression of the CVJ. Because there are many disadvantages of open transoral approach, endoscopic odontoidectomy was developed. There are 3 approaches in endoscopic odontoidectomy. We report transcervical retropharyngeal endoscopic approach for the ventral CVJ in this paper. Three patients with different pathologies received operations using this approach. The decompression was enough and surgical invasion was less in all patients. Each endoscopic approach has some advantages and different working regions due to their approach trajectories, but transcervical retropharyngeal approach is very familiar for our neurospinal surgeons and has a relatively large working area. This approach might have the chance to take the place of open transoral approach for endoscopic spinal surgeons.

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Section: Discussionmentioning

confidence: 99%

Full-Endoscopic Transcervical Ventral Decompression for Pathologies of Craniovertebral Junction: Case Series

Ohara

Nakajima

Kimura³

et al. 2020

Neurospine

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“…26 In the field of neurosurgery, the da Vinci Surgical System has been used in odontoidectomy, paraspinal schwannoma resection, anterior lumbar interbody fusion, and intrauterine myelomeningocele repair. [28][29][30][31][32] In this study, we demonstrate the feasibility of applying robotic technology to minimally invasive skull base neurosurgery via the supraorbital keyhole approach. With the advantages of the robotic system, this approach provides a wide exposure and accessibility to the skull base structures (Table).…”

Section: Discussionmentioning

confidence: 89%

Robotic Skull Base Surgery via Supraorbital Keyhole Approach

et al. 2013

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“…While several studies have reported the use of the da Vinci robot in spinal and peripheral nerve surgery [ 1 , 4 , 7 , 14 , 16 , 19 – 21 ], only one previous cadaver study has described the use of the da Vinci robot in keyhole brain surgery [ 6 ]. Hong et al described the application of the da Vinci robot to the keyhole supraorbital approach and, in contrast to the present study, found that it was generally feasible, though they did comment on instrument clashes and lack of proper tools.…”

Section: Discussionmentioning

confidence: 99%

da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety

et al. 2014

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The goal of this cadaver study was to evaluate the feasibility and safety of da Vinci robot-assisted keyhole neurosurgery. Several keyhole craniotomies were fashioned including supraorbital subfrontal, retrosigmoid and supracerebellar infratentorial. In each case, a simple durotomy was performed, and the flap was retracted. The da Vinci surgical system was then used to perform arachnoid dissection towards the deep-seated intracranial cisterns. It was not possible to simultaneously pass the 12-mm endoscope and instruments through the keyhole craniotomy in any of the approaches performed, limiting visualization. The articulated instruments provided greater dexterity than existing tools, but the instrument arms could not be placed in parallel through the keyhole craniotomy and, therefore, could not be advanced to the deep cisterns without significant clashing. The da Vinci console offered considerable ergonomic advantages over the existing operating room arrangement, allowing the operating surgeon to remain non-sterile and seated comfortably throughout the procedure. However, the lack of haptic feedback was a notable limitation. In conclusion, while robotic platforms have the potential to greatly enhance the performance of transcranial approaches, there is strong justification for research into next-generation robots, better suited to keyhole neurosurgery.

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Robot-Assisted Transoral Odontoidectomy : Experiment in New Minimally Invasive Technology, a Cadaveric Study

Cited by 21 publications

References 24 publications

Full-Endoscopic Transcervical Ventral Decompression for Pathologies of Craniovertebral Junction: Case Series

Full-Endoscopic Transcervical Ventral Decompression for Pathologies of Craniovertebral Junction: Case Series

Robotic Skull Base Surgery via Supraorbital Keyhole Approach

da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety

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