Robotic Resection of Spinal and Paraspinal Tumors

Area of Science:

• Neurosurgery
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Robotic arm surgical systems are underutilized in neurosurgery.
• A neurosurgeon trained in robotic surgery can be part of a multidisciplinary team.
• Spinal nerve sheath tumors (NSTs) present unique surgical challenges.

Purpose of the Study:

• To evaluate the feasibility of robotic resection for spinal nerve sheath tumors.
• To assess the safety and outcomes of robotic-assisted NST resection.
• To compare robotic resection outcomes with historical open surgery data.

Main Methods:

• Retrospective case series of robotic-assisted intracavitary approaches and resection of NSTs.
• Inclusion of thoracic, retroperitoneal, and transperitoneal tumor locations.
• Comparison with a historical cohort of open surgical resections.

Main Results:

• 19 cases of robotic resection for spinal nerve sheath tumors were analyzed.
• Gross total resection was achieved in 100% of robotic cases, significantly higher than open surgery (60%).
• Median length of stay was significantly reduced (1 day vs. 5 days) with robotic surgery, with high rates of early discharge.

Conclusions:

• Robotic resection of complex paraspinal tumors is safe and effective.
• Robotic surgery aids in preserving neurological function and reducing surgical morbidity.
• Integration of robotic platforms can significantly impact neurosurgery practices.