Robotic Microsurgery in Extremity Reconstruction - Experience With a Novel Robotic System.
Surg Innov
; 31(1): 42-47, 2024 Feb.
Article
en En
| MEDLINE
| ID: mdl-38130173
ABSTRACT
Background:
Robotic systems have successfully been introduced into other surgical fields in the past. First attempts with different setups are made in the field of microsurgery. The Symani® Surgical System, a flexible platform consisting of two robotic arms, features motion scaling with tremor filtration to address the demands and complexity of microsurgery. Symani's NanoWrist Instruments are the world's smallest, wristed surgical instruments, intended to improve a surgeon's range of motion beyond the capability of the human hand. This combination allows surgeons to scale their hand movements while seamlessly articulating the robotic micro instruments.Purpose:
We report on our experience in extremity reconstruction with this novel system.ResearchDesign:
The Symani Surgical System® was used for 6 cases of extremity reconstruction. The surgeon controlled the manipulators along with the footswitch while either sitting away from the operating table relying on 3D visualization with an exoscope or sitting at the operating table using a standard microscope.Data Collection Microsurgical anastomoses were performed in 4 patients (3 end-to-end arterial anastomoses and one end-to-side arterial anastomosis) and nerve grafting was performed in 2 patients.Results:
Microvascular anastomoses were slower vs conventional microsurgery, but all anastomoses were patent. Epineural coaptation showed proper fascicle alignment and tissue manipulation could be kept to a minimum. The platform's motion scaling allows the surgeon to perform precise micro-movements with only minimal tissue manipulation and hard-to-reach anatomy becomes accessible more easily.Conclusions:
Robotic microsurgery might gain importance in the nearer future but more data will need to be collected.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Robótica
/
Procedimientos Quirúrgicos Robotizados
/
Cirujanos
Límite:
Humans
Idioma:
En
Revista:
Surg Innov
Año:
2024
Tipo del documento:
Article
País de afiliación:
Suiza