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Robotic-Assisted Peripheral Nerve Surgery: A Systematic Review.

Lisa Wen-Yu Chen1, Mei Goh2, Raymond Goh3

  • 1Department of Plastic and Reconstructive Surgery, Linkou Medical Center and Chang-Gung University, School of Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Journal of Reconstructive Microsurgery
|January 5, 2021
PubMed
Summary

Robotic surgery is emerging in peripheral nerve reconstruction, with limited current applications but potential for future growth. This review evaluates robotic techniques for nerve repair and reconstruction, highlighting challenges and opportunities.

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Area of Science:

  • Surgical Innovation
  • Neurosurgery
  • Plastic and Reconstructive Surgery

Background:

  • Robotic-assisted surgery is transforming various surgical fields.
  • Its application in plastic and reconstructive surgery, particularly peripheral nerve reconstruction, remains limited.
  • This study explores current robotic uses and future potential in this specialized area.

Purpose of the Study:

  • To identify current clinical applications of robotic techniques in peripheral nerve reconstruction.
  • To evaluate the advantages and disadvantages of robotic-assisted peripheral nerve surgery.
  • To establish potential future uses for robotic systems in this surgical domain.

Main Methods:

  • A comprehensive literature review was conducted using PubMed.
  • Included studies focused on robotic peripheral nerve intervention techniques in animal, cadaveric, and human models.
  • Excluded were reviews unrelated to peripheral nerves and non-English articles.

Main Results:

  • Nineteen studies were analyzed, covering brachial plexus reconstruction, nerve tumors, repair, harvesting, and sympathetic trunk reconstruction.
  • Of 53 clinical cases, 37.7% were successfully robotically approached with minimal invasiveness.
  • Robotic intervention showed varied success rates, with some cases requiring conversion to open surgery.

Conclusions:

  • Robotic-assisted surgery is in its nascent stages for peripheral nerve procedures.
  • The field shows promise for future development, especially in complex cases requiring interdisciplinary collaboration.
  • Robotic systems may become increasingly popular for challenging peripheral nerve reconstructions.