Transoral robotic surgery of craniocervical junction and atlantoaxial spine: a cadaveric study

Lee, John Y.K.; O’Malley, Bert W.; Newman, Jason G.; Weinstein, Gregory S.; Lega, Bradley; Díaz, José Ángel Menéndez; Grady, M. Sean

doi:10.3171/2009.7.spine08928

Cited by 60 publications

(40 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…26 Because navigation or fluoroscopy could establish a safe approach to areas of interest, systems were developed with limited automation, such as the da Vinci or Renaissance robots (described below). 5,19,[28][29][30][31]39,60 Early robotic models were constrained to deployment at one location. To reach other areas, the machine had to be moved around the patient.…”

Section: Current Technologies Robotic Systemsmentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

View full text Add to dashboard Cite

Surgical robots have captured the interest—if not the widespread acceptance—of spinal neurosurgeons. But successful innovation, scientific or commercial, requires the majority to adopt a new practice. “Faster, better, cheaper” products should in theory conquer the market, but often fail. The psychology of change is complex, and the “follow the leader” mentality, common in the field today, lends little trust to the process of disseminating new technology. Beyond product quality, timing has proven to be a key factor in the inception, design, and execution of new technologies. Although the first robotic surgery was performed in 1985, scant progress was seen until the era of minimally invasive surgery. This movement increased neurosurgeons’ dependence on navigation and fluoroscopy, intensifying the drive for enhanced precision. Outside the field of medicine, various technology companies have made great progress in popularizing co-robots (“cobots”), augmented reality, and processor chips. This has helped to ease practicing surgeons into familiarity with and acceptance of these technologies. The adoption among neurosurgeons in training is a “follow the leader” phenomenon, wherein new surgeons tend to adopt the technology used during residency. In neurosurgery today, robots are limited to computers functioning between the surgeon and patient. Their functions are confined to establishing a trajectory for navigation, with task execution solely in the surgeon’s hands. In this review, the authors discuss significant untapped technologies waiting to be used for more meaningful applications. They explore the history and current manifestations of various modern technologies, and project what innovations may lie ahead.

show abstract

Section: Current Technologies Robotic Systemsmentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

View full text Add to dashboard Cite

show abstract

“…Auch die Neurochirurgen haben das Master-Slave-System entdeckt. Hier wurden experimentelle Arbeiten über einen transoralen Zugang am kraniozervikalen Übergang [24] und andere Eingriffe [25] durchgeführt. HNO-ärztlicherseits wurde unter anderem über die Resektion von Tumoren am Zungengrund [26] oder die radikale transorale Tonsillektomie beim Plattenepithelkarzinom [27] berichtet, ohne dass diese Untersuchungen über reine Machbarkeitsstudien hinausgingen [28].…”

Section: Davinci In Weiteren Operativen Disziplinenunclassified

Leistungsfähigkeit, Risiken und Vorteile des Einsatzes der Robotik in medizinisch-operativen Disziplinen

Feußner

Can

Fiolka

et al. 2010

Bundesgesundheitsbl.

View full text Add to dashboard Cite

“…Table 1 illustrates the variety of cadaveric studies that have been performed and their characteristics. 18,19,21,[25][26][27]38,40 Whereas many published studies consisted of 1-2 cadavers, Togawa et al 42 reported on the placement of lumbosacral pedicle screws, translaminar facet screws, and was assessed separately; they had all been placed successfully, with an overall average deviation of 1.03 ± 0.59 mm. In the translaminar facet instrumentation surgery, the overall average K-wire deviation was 1.05 ± 0.56 mm.…”

Section: Cadaveric Studies Of Robot-assisted Spine Surgerymentioning

confidence: 99%

Robotics and the spine: a review of current and ongoing applications

Shweikeh¹,

Amadio

Arnell³

et al. 2014

FOC

View full text Add to dashboard Cite

T echnological advances have revolutionized spine surgery over the past 20 years. Many of these developments have been centered on the innovations of new technology implants and minimally invasive spine surgery. The goals of these improvements have been to balance the maintenance of a high degree of precision, to minimize risks of damage to neurovascular structures, to facilitate surgeon access and operating room dynamics, and to diminish harmful exposure to ionizing radiation in patients and the operative team. Because the risks associated with spine surgery are plentiful and limiting complications is imperative, implementing a robot-assisted technique has the potential to address many concerns associated with conventional surgery.Robotic systems have been used in multiple surgical disciplines including gynecology, urology, and general surgery. In the last decade we have seen the application of this technology to spine surgery. Robots can potentially help with all matters of spine surgery including the following: precision in spinal instrumentation, eliminating dural and neurovascular injuries, minimizing exposure to radiation, and improving operating room workflow. 5At the same time, the technology affords the surgeon a significant improvement in coordination, 3D visualization, and a reduction in fatigue, and it offers the patient a smaller incision, lower risk of infections, minimal muscle retraction and thus postoperative pain, and shortened length of hospital stay. 16 Apart from screw and rod insertion, the technology has been applied to other forms of spine operations and pathological conditions including tumor resections and ablations, vertebroplasties, and anesthetic blocks. This article provides an overview and update on the utility of robotics in spine surgery and spine biomechanics testing. MethodsUsing the National Library of Medicine search enRobotics and the spine: a review of current and ongoing applications Object. Robotics in the operating room has shown great use and versatility in multiple surgical fields. Robotassisted spine surgery has gained significant favor over its relatively short existence, due to its intuitive promise of higher surgical accuracy and better outcomes with fewer complications. Here, the authors analyze the existing literature on this growing technology in the era of minimally invasive spine surgery.Methods. In an attempt to provide the most recent, up-to-date review of the current literature on robotic spine surgery, a search of the existing literature was conducted to obtain all relevant studies on robotics as it relates to its application in spine surgery and other interventions.Results. In all, 45 articles were included in the analysis. The authors discuss the current status of this technology and its potential in multiple arenas of spinal interventions, mainly spine surgery and spine biomechanics testing.Conclusions. There are numerous potential advantages and limitations to robotic spine surgery, as suggested in published case reports and in retrospective and prosp...

show abstract

Transoral robotic surgery of craniocervical junction and atlantoaxial spine: a cadaveric study

Cited by 60 publications

References 16 publications

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Leistungsfähigkeit, Risiken und Vorteile des Einsatzes der Robotik in medizinisch-operativen Disziplinen

Robotics and the spine: a review of current and ongoing applications

Contact Info

Product

Resources

About