RSS-Feed abonnieren
DOI: 10.1055/s-0032-1330121
Minimally Invasive, Robot-Assisted, Anterior Lumbar Interbody Fusion: A Technical Note
Publikationsverlauf
08. August 2011
02. März 2012
Publikationsdatum:
11. Januar 2013 (online)
![](https://www.thieme-connect.de/media/jnlsa/201304/lookinside/thumbnails/10.1055-s-0032-1330121-1.jpg)
Abstract
Background Minimally invasive techniques in spine surgery have gained significant popularity due to decreased tissue dissection and destruction, postoperative pain, and hospital stay. The laparoscopic anterior lumbar interbody fusion (ALIF), an innovation in minimally invasive spine surgery, is rarely done because it has marginal benefit over the mini-open ALIF technique in rates of retrograde ejaculation and vascular complications. We propose these outcomes can be improved with enhanced robotic-assisted dissection and exposure for ALIF.
Patients Two patients with single-level degenerative spine disease at L5-S1, associated with mechanical back pain, underwent anterior spinal exposure using the da Vinci S Surgical Robot during ALIF.
Results In this report, we provide the first description of the use of a surgical robot in the dissection and exposure for ALIF in patients with degenerative spine disease. We demonstrate successful use of the da Vinci Surgical Robot in separating the presacral nervous plexus from retroperitoneal structures without postoperative vascular or urological complications over a 1-year follow-up period.
Conclusion Use of the robotic assistance in the performance of ALIF is possible without significant operative complications. This technique may provide added benefit over conventional laparoscopic approaches to the spine.
-
References
- 1 McLaughlin MR, Zhang JY, Subach BR, Haid Jr RW, Rodts Jr GE. Laparoscopic anterior lumbar interbody fusion. Technical note. Neurosurg Focus 1999; 7 (6) e8
- 2 Kaiser MG, Haid Jr RW, Subach BR, Miller JS, Smith CD, Rodts Jr GE. Comparison of the mini-open versus laparoscopic approach for anterior lumbar interbody fusion: a retrospective review. Neurosurgery 2002; 51 (1) 97-103 , discussion 103–105
- 3 Lanfranco AR, Castellanos AE, Desai JP, Meyers WC. Robotic surgery: a current perspective. Ann Surg 2004; 239 (1) 14-21
- 4 Davol P, Sumfest J, Rukstalis D. Robotic-assisted laparoscopic retroperitoneal lymph node dissection. Urology 2006; 67 (1) 199
- 5 Havenga K, Enker WE. Autonomic nerve preserving total mesorectal excision. Surg Clin North Am 2002; 82 (5) 1009-1018
- 6 Frumovitz M, Sun CC, Schover LR , et al. Quality of life and sexual functioning in cervical cancer survivors. J Clin Oncol 2005; 23 (30) 7428-7436
- 7 Banerjee AK. Sexual dysfunction after surgery for rectal cancer. Lancet 1999; 353 (9168) 1900-1902