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Published in: Acta Neurochirurgica 4/2010

01-04-2010 | Technical Note

Robot-assisted anterior lumbar interbody fusion (ALIF) using retroperitoneal approach

Authors: Minji J. Kim, Yoon Ha, Moon Sool Yang, Do Heum Yoon, Keung Nyun Kim, Hoon Kim, Joong Won Yang, John Y. K. Lee, Seong Yi, Woo Joo Jung, Koon Ho Rha

Published in: Acta Neurochirurgica | Issue 4/2010

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Abstract

Background

Over the past few years, robot-assisted surgery has become increasingly popular, affecting virtually all surgical fields. It has been proven to overcome pitfalls of laparoscopic procedures, such as high complication rates and steep learning curve. We have, therefore, performed experimental anterior lumbar interbody fusion (ALIF) using retroperitoneal approach in swine model to test the feasibility of robot-assisted surgery in spinal surgery.

Method

In this report, we describe the setup with the da Vinci® surgical system, operative method, result and discuss technical aspects and the future of robot-assisted ALIF.

Findings

Experimental retroperitoneal dissection using robotic surgical system was successfully performed with great visual cue, minimal retraction and minimal bleeding.

Conclusion

Although retroperitoneal approach for spinal fusion has never been attempted with robotic surgical system, we could demonstrate the possibility with swine model. Further studies and development of appropriate instruments will bring minimally invasive spine surgery to a new era.
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Metadata
Title
Robot-assisted anterior lumbar interbody fusion (ALIF) using retroperitoneal approach
Authors
Minji J. Kim
Yoon Ha
Moon Sool Yang
Do Heum Yoon
Keung Nyun Kim
Hoon Kim
Joong Won Yang
John Y. K. Lee
Seong Yi
Woo Joo Jung
Koon Ho Rha
Publication date
01-04-2010
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 4/2010
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-009-0568-y

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