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Structured Motor Rehabilitation After Selective Nerve Transfers
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使用专门的微手术机器人系统进行神经移植.

Benedikt Schäfer1,2, Jörg Bahm1,2, Justus P Beier1

  • 1From the Department of Plastic Surgery, Hand Surgery - Burn Center, University Hospital RWTH Aachen, Aachen, Germany.

Plastic and reconstructive surgery. Global open
|August 16, 2023
PubMed
概括

机器人微手术能够精确地对小神经进行同,即使是在难以到达的区域. 这项技术增强了外围神经修复复杂的病例,如臂麻.

科学领域:

  • 神经外科 神经外科
  • 微手术 微手术是一种微手术.
  • 机器人手术 机器人手术

背景情况:

  • 由于神经移植的进步,外围神经外科手术的微手术需求正在增加.
  • 转移和接收小神经和单个带需要先进的微手术技能.
  • 在某些解剖区域的有限的外科手术访问对传统的微手术技术提出了挑战.

研究的目的:

  • 评估机器人技术对小外围神经的上神经吸收的可行性和有效性.
  • 评估机器人辅助微手术在具有挑战性的解剖位置的精度和准确性.
  • 探索机器人系统在执行复杂的神经移植方面的潜力.

主要方法:

  • 在Symani手术系统,一个机器人技术,被用于上神经收容.
  • 在患有臂麻的患者中,三根捐赠神经 (肋间神经4-6号) 被吸收神经 (长胸和胸脊神经) 吸收.
  • 与机器人系统一起使用了高放大率 (高达26×) 的3D外观镜.

主要成果:

  • 通过使用微手术机器人,成功地实现了捐赠者和接受者神经的上神经合.
  • 机器人系统与3D外观镜相结合,允许精确和准确地放置上神经.
  • 该程序展示了机器人技术处理非常小的神经结构的能力.

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结论:

  • 机器人微手术,特别是Symani手术系统,能够成功地对非常小的神经结构进行共同捕获.
  • 这项技术促进了更精细,更有针对性和更复杂的神经传输.
  • 机器人辅助扩大了外科手术的可能性,特别是在解剖学上难以到达的区域进行外围神经修复.