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Chir Main. 2014 Oct;33(5):356-60. doi: 10.1016/j.main.2014.07.006. Epub 2014 Sep 16.

Robotic phrenic nerve harvest: a feasibility study in a pig model.

Author information

1
Center for Advanced Studies in Orthopedics and Neurosurgery, São Paulo, Brazil; Neurosurgery Department, São Paulo Military Área Hospital, Brazilian Army, São Paulo, Brazil; Institute of Education and Sciences, German Hospital Oswaldo Cruz, São Paulo, Brazil.
2
Department of Hand Surgery, Strasbourg University Hospitals, FMTS, Strasbourg University, 10, avenue Baumann, 67403 Illkirch cedex, France; Department of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
3
General and digestive Departement, University Hospital of Nancy, 54511 Nancy, France.
4
São Paulo Hand Center, Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
5
MD Anderson Center, Houston, TX, USA.
6
Department of Hand Surgery, Strasbourg University Hospitals, FMTS, Strasbourg University, 10, avenue Baumann, 67403 Illkirch cedex, France.
7
Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
8
Department of Thoracic Surgery, Strasbourg University Hospitals, FMTS, Strasbourg University, 1, place de l'Hôpital, 67000 Strasbourg cedex, France.
9
Department of Hand Surgery, Strasbourg University Hospitals, FMTS, Strasbourg University, 10, avenue Baumann, 67403 Illkirch cedex, France. Electronic address: philippe.liverneaux@chru-strasbourg.fr.

Abstract

The aim of this study was to report on the feasibility of robotic phrenic nerve harvest in a pig model. A surgical robot (Da Vinci S™ system, Intuitive Surgical(®), Sunnyvale, CA) was installed with three ports on the pig's left chest. The phrenic nerve was transected distally where it enters the diaphragm. The phrenic nerve harvest was successfully performed in 45 minutes without major complications. The advantages of robotic microsurgery for phrenic nerve harvest are the motion scaling up to 5 times, elimination of physiological tremor, and free movement of joint-equipped robotic arms. Robot-assisted neurolysis may be clinically useful for harvesting the phrenic nerve for brachial plexus reconstruction.

KEYWORDS:

Brachial plexus; Da Vinci robot; Microchirurgie robotique; Nerf phrénique; Phrenic nerve; Plexus brachial; Robot Da Vinci; Robot-assisted microsurgery; Telemicrosurgery; Télémicrochirurgie

PMID:
25267395
DOI:
10.1016/j.main.2014.07.006
[Indexed for MEDLINE]

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