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无点击 (两步) 和点击机器人辅助皮质骨轨迹螺丝插入螺丝的比较
Neil J Werthmann1, Jeffrey L Gum2, Kosei Nagata2
1University of Louisville School of Medicine, 500 South Preston Street. Instructional Building, Room 305, Louisville, KY, 40202, USA.
Journal of robotic surgery
|May 7, 2024
概括
对于皮质骨轨迹 (CBT) 螺丝,一种新的两步,非触摸的工作流程可以减少脊髓融合手术中的机器人时间,而不会增加并发症. 这种简化方法为使用机器人辅助的外科医生提供了潜在的时间节省.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 机器人手术 机器人手术
背景情况:
- 传统的皮质骨轨迹 (CBT) 螺杆放置涉及点击,线对线或1毫米低点击.
- 机器人辅助脊髓融合提供了精度,但工作流的优化对效率至关重要.
研究的目的:
- 描述和评估一个新的两步,非挖掘工作流程,用于CBT螺杆放置.
- 为了比较无触摸 (No-Tap) 工作流程的安全性和时间效率,与机器人辅助后中的传统触摸 (Tap) 工作流程进行比较.
主要方法:
- 通过使用机器人辅助的CBT螺丝进行1-3级后的患者的回顾性分析.
- 患者被分为两组:那些接受了No-Tap工作流程和那些接受了传统的Tap工作流程的患者.
- 收集的数据包括总螺丝,螺丝相关的并发症,估计的血液损失,手术时间,机器人时间和返回手术室.
主要成果:
- 总机器人时间在No-Tap组 (26.7分钟) 与Tap组 (30.3分钟,p=0.053) 相比,显著降低.
- 没有统计学上显著的差异在手术期间错位的螺丝,螺丝转换为自由手,或废弃的螺丝在两组之间.
- 没有在No-Tap队列中观察到足骨/pars骨折或固定失败,而在Tap队列中只有一例. 没有患者需要返回手术室,因为螺丝错位.
结论:
- 机器人辅助CBT的无敲击 (No-Tap) 螺丝插入工作流程是传统敲击方法的安全有效替代方案.
- 这种精简的工作流程可以减少机器人的操作时间,而不会影响螺丝放置的准确性或增加并发症率,从而提供显著的效率效益.
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