Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons.
Neurospine
; 21(1): 116-127, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38569638
ABSTRACT
OBJECTIVE:
This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery.METHODS:
We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents. Subsequently, we offered a hands-on training program using a dummy to educate one resident. After completing the program, the trained resident performed spinal fusion surgery with robotic assistance under the supervision of a mentor. The clinical outcomes and learning curve associated with robotic surgery were then analyzed.RESULTS:
Neurosurgical residents had limited opportunities to participate in spinal surgery during their training. Despite this, there was a significant interest in the emerging field of robotic surgery. A trained resident performed RASS under the supervision of a senior surgeon. A total of 166 screw insertions were attempted in 28 patients, with 2 screws failing due to skiving. According to the Gertzbein-Robbins classification, 85.54% of the screws were rated as grade A, 11.58% as grade B, 0.6% as grade C, and 1.2% as grade D. The clinical acceptance rate was approximately 96.99%, which is comparable to the results reported by senior experts and time per screw statistically significantly decreased as experience was gained.CONCLUSION:
RASS can be performed with high accuracy within a relatively short timeframe, if residents receive adequate training.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Neurospine
Ano de publicação:
2024
Tipo de documento:
Article