AI Article Synopsis
- Robotic-assisted peripheral nerve surgery (RASPN) is a new technique in microsurgery that improves precision and reduces tremors for nerve repairs, focusing on a large patient group for detailed analysis.* -
- The study involved data collection from 19 patients, with a variety of procedures performed, and the surgeon underwent intensive training with the robotic system before starting clinical applications.* -
- Findings indicated that the learning curve for RASPN shows no significant improvement in stitch time, highlighting the need for further training and development to overcome challenges like instrument grip and blood clotting issues.*
Article Abstract
Background: Robotic-assisted peripheral nerve surgery (RASPN) has emerged as a promising advancement in microsurgery, offering enhanced precision and tremor reduction for nerve coaptations. This study investigated the largest published patient collective in RASPN and provided specific technical aspects, operative setups, and a learning curve.
Methods: Data collection involved creating a prospective database that recorded surgical details such as surgery type, duration, nerve coaptation time, and number of stitches. The experienced surgeon first underwent a 12-hour training program utilizing the Symani robot system in combination with optical magnification tools before using the system clinically.
Results: The study included 19 patients who underwent robot-assisted peripheral nerve reconstruction. The cohort included six men (31.6%) and 13 women (68.4%), with an average age of 53.8 ± 18.4 years. The procedures included nerve transfers, targeted muscle reinnervation, neurotized free flaps, and autologous nerve grafts. Learning curve analysis revealed no significant reduction in time per stitch over the initial nine coaptations (4.9 ± 0.5 min) compared with the last 10 coaptations (5.5 ± 1.5 min).
Conclusions: The learning curve for RASPN was compared with early experiences with other surgical robots, emphasizing the importance of surgical proficiency and assistant training. Obstacles such as instrument grip strength and blood clot formation were highlighted, and suggestions for future advancements were proposed. RASPN presents an exciting opportunity to enhance precision; however, ongoing research and optimization are necessary to fully harness its benefits.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11463204 | PMC |
| http://dx.doi.org/10.1097/GOX.0000000000006221 | DOI Listing |
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