Display options
Cite
Facca S, Hendriks S, Mantovani G, et al. Robot-assisted surgery of the shoulder girdle and brachial plexus. Semin Plast Surg. 2014;28(1):39-44doi: 10.1055/s-0034-1368167.
Facca, S., Hendriks, S., Mantovani, G., Selber, J. C., & Liverneaux, P. (2014). Robot-assisted surgery of the shoulder girdle and brachial plexus. Seminars in plastic surgery, 28(1), 39-44. https://doi.org/10.1055/s-0034-1368167
Facca, Sybille, et al. "Robot-assisted surgery of the shoulder girdle and brachial plexus." Seminars in plastic surgery vol. 28,1 (2014): 39-44. doi: https://doi.org/10.1055/s-0034-1368167
Facca S, Hendriks S, Mantovani G, Selber JC, Liverneaux P. Robot-assisted surgery of the shoulder girdle and brachial plexus. Semin Plast Surg. 2014 Feb;28(1):39-44. doi: 10.1055/s-0034-1368167. PMID: 24872778; PMCID: PMC3946020.
Copy Download .nbib Format: NLM
Share it on

Semin Plast Surg. 2014 Feb;28(1):39-44. doi: 10.1055/s-0034-1368167.

Robot-assisted surgery of the shoulder girdle and brachial plexus.

Seminars in plastic surgery

Sybille Facca, Sarah Hendriks, Gustavo Mantovani, Jesse C Selber, Philippe Liverneaux

Affiliations

  1. Department of Hand Surgery, Strasbourg University Hospital, Illkirch, France.
  2. Department of Hand Surgery, Sao Paolo Hand center, Ben Portuguesa Hospital, Sao Paolo, Brazil.
  3. Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.

PMID: 24872778 PMCID: PMC3946020 DOI: 10.1055/s-0034-1368167

Abstract

New developments in the surgery of the brachial plexus include the use of less invasive surgical approaches and more precise techniques. The theoretical advantages of the use of robotics versus endoscopy are the disappearance of physiological tremor, three-dimensional vision, high definition, magnification, and superior ergonomics. On a fresh cadaver, a dissection space was created and maintained by insufflation of CO2. The supraclavicular brachial plexus was dissected using the da Vinci robot (Intuitive Surgical, Sunnyvale, CA). A segment of the C5 nerve root was grafted robotically. A series of eight clinical cases of nerve damage around the shoulder girdle were operated on using the da Vinci robot. The ability to perform successful microneural repair was confirmed in both the authors' clinical and experimental studies, but the entire potential of robotically assisted microneural surgery was not realized during these initial cases because an open incision was still required. Robotic-assisted surgery of the shoulder girdle and brachial plexus is still in its early stages. It would be ideal to have even finer and more suitable instruments to apply fibrin glue or electrostimulation in nerve surgery. Nevertheless, the prospects of minimally invasive techniques would allow acute and subacute surgical approach of traumatic brachial plexus palsy safely, without significant and cicatricial morbidity.

Keywords: brachial plexus; da Vinci robot; shoulder girdle; telemicrosurgery

References

  1. J Bone Joint Surg Am. 1988 Jun;70(5):639-40 - PubMed
  2. Plast Reconstr Surg. 2012 Jun;129(6):1305-1312 - PubMed
  3. Knee Surg Sports Traumatol Arthrosc. 2009 Apr;17(4):405-8 - PubMed
  4. Arthroscopy. 2007 Jan;23(1):34-42 - PubMed
  5. J Neurosurg. 2008 Jun;108(6):1215-9 - PubMed
  6. Orthop Clin North Am. 1980 Apr;11(2):197-204 - PubMed
  7. Arthroscopy. 2009 Apr;25(4):439-45 - PubMed
  8. Clin Orthop Relat Res. 2001 Sep;(390):5-9 - PubMed
  9. Arthroscopy. 2008 Feb;24(2):236.e1-4 - PubMed
  10. Am J Sports Med. 2008 Oct;36(10):1998-2001 - PubMed
  11. Chir Main. 2006 Nov;25 Suppl 1:S4-7 - PubMed
  12. Arthroscopy. 2010 Feb;26(2):149-60 - PubMed
  13. Chir Main. 2012 Feb;31(1):7-12 - PubMed
  14. Arthroscopy. 2005 Aug;21(8):1017 - PubMed
  15. Arthroscopy. 1989;5(3):222-4 - PubMed
  16. J Bone Joint Surg Am. 2013 Oct 16;95(20):1896-901 - PubMed
  17. Arthroscopy. 2007 Jun;23(6):674.e1-4 - PubMed
  18. Hand Surg. 2011;16(1):1-3 - PubMed
  19. Knee Surg Sports Traumatol Arthrosc. 2008 Sep;16(9):884-6 - PubMed
  20. J Reconstr Microsurg. 2009 May;25(4):261-5 - PubMed
  21. Chir Main. 2009 Oct;28(5):278-85 - PubMed
  22. Chir Main. 2008 Apr-Jun;27(2-3):104-8 - PubMed

Publication Types