Related Experiment Video
Updated: Sep 2, 2025
Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
Published on: July 15, 2021
Extreme Lateral Lumbar Interbody Fusion Surgery with a Robot-Assisted System in a Swine Model
Gurkan Berikol1, Abuzer Gungor, Mehmet Berke Goztepe
1Taksim Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Aim:
To evaluate the technical aspects of the Da Vinci Xi Surgical System in minimally invasive extreme lateral lumbar interbody fusion (XLIF) surgery in a swine model.
Material And Methods:
Endoscopic discectomy and XLIF cage insertion were performed using a robot-assisted system. The time taken and the pros and cons of each steps were recorded.
Results:
A total of 4 ports were used for the surgical access; one for the camera, two for bipolar forcepses, and one auxiliary port for modified discectomy. Punch and curette were used for discectomy. The cage was inserted through the auxiliary port. Cage position was manipulated and checked by using the C-arm fluoroscopy. The operative time was 80 minutes. No complications or cage malposition was noted throughout the procedure.
Conclusion:
This study shows that the robot-assisted XLIF approach is safe and feasible, and helps to protect the neurovascular structures. Moreover, a high image quality was also obtained during the procedure.
