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Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection
BACKGROUND: Robotic surgery may be advantageous in neurogenic sacral tumor resection but only a few studies reported robotic-assisted neurogenic sacral tumor resection. OBJECTIVE: To propose a new surgical strategy for robotic-assisted benign sacral neurogenic tumor resection and introduce the ultra...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508466/ https://www.ncbi.nlm.nih.gov/pubmed/36701567 http://dx.doi.org/10.1227/ons.0000000000000493 |
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author | Wu, Hui Fu, Yi-wei Gao, Zhen-hua Zhong, Zhi-hai Shen, Jing-nan Yin, Jun-qiang |
author_facet | Wu, Hui Fu, Yi-wei Gao, Zhen-hua Zhong, Zhi-hai Shen, Jing-nan Yin, Jun-qiang |
author_sort | Wu, Hui |
collection | PubMed |
description | BACKGROUND: Robotic surgery may be advantageous in neurogenic sacral tumor resection but only a few studies reported robotic-assisted neurogenic sacral tumor resection. OBJECTIVE: To propose a new surgical strategy for robotic-assisted benign sacral neurogenic tumor resection and introduce the ultrasonic osteotomy surgical system in robotic surgery. METHODS: Twelve patients who had robotic-assisted primary benign sacral neurogenic tumor resection between May 2015 and March 2021 were included. Our surgical strategy divides tumors into 4 types. Type I: Presacral tumors with diameter <10 cm. Type II: Narrow-base tumors involving the sacrum with diameter <10 cm. Type III: Broad-base tumors involving the sacrum with diameter <10 cm. Type IV: Tumors involving sacral nerve roots ≥2 levels and/or with diameter ≥10 cm. RESULTS: Five type I, 5 type II, and 1 type III patients underwent tumor resection via an anterior approach, and 1 type IV patient via a combined approach. The median operation time, blood loss, and postoperative hospital stay of type I and II were much less than those of type IV. The ultrasonic osteotomy surgical system facilitated osteotomy in 2 type II and 1 type III patients. Eleven patients had total resections, and 1 type III patient had a partial resection. During the follow-up period of 7.9 to 70.9 months (median: 28.5 months), no local recurrences or deaths were noted. CONCLUSION: With the largest single-center series to our knowledge, this surgical strategy helped to guide robotic-assisted benign sacral neurogenic tumor resection. The ultrasonic osteotomy surgical system was effective for type II and III. |
format | Online Article Text |
id | pubmed-10508466 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-105084662023-11-10 Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection Wu, Hui Fu, Yi-wei Gao, Zhen-hua Zhong, Zhi-hai Shen, Jing-nan Yin, Jun-qiang Oper Neurosurg (Hagerstown) Spinal BACKGROUND: Robotic surgery may be advantageous in neurogenic sacral tumor resection but only a few studies reported robotic-assisted neurogenic sacral tumor resection. OBJECTIVE: To propose a new surgical strategy for robotic-assisted benign sacral neurogenic tumor resection and introduce the ultrasonic osteotomy surgical system in robotic surgery. METHODS: Twelve patients who had robotic-assisted primary benign sacral neurogenic tumor resection between May 2015 and March 2021 were included. Our surgical strategy divides tumors into 4 types. Type I: Presacral tumors with diameter <10 cm. Type II: Narrow-base tumors involving the sacrum with diameter <10 cm. Type III: Broad-base tumors involving the sacrum with diameter <10 cm. Type IV: Tumors involving sacral nerve roots ≥2 levels and/or with diameter ≥10 cm. RESULTS: Five type I, 5 type II, and 1 type III patients underwent tumor resection via an anterior approach, and 1 type IV patient via a combined approach. The median operation time, blood loss, and postoperative hospital stay of type I and II were much less than those of type IV. The ultrasonic osteotomy surgical system facilitated osteotomy in 2 type II and 1 type III patients. Eleven patients had total resections, and 1 type III patient had a partial resection. During the follow-up period of 7.9 to 70.9 months (median: 28.5 months), no local recurrences or deaths were noted. CONCLUSION: With the largest single-center series to our knowledge, this surgical strategy helped to guide robotic-assisted benign sacral neurogenic tumor resection. The ultrasonic osteotomy surgical system was effective for type II and III. Wolters Kluwer 2023-03 2022-11-10 /pmc/articles/PMC10508466/ /pubmed/36701567 http://dx.doi.org/10.1227/ons.0000000000000493 Text en © 2022 The Author(s). Published by Wolters Kluwer Health, Inc on behalf of Congress of Neurological Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Spinal Wu, Hui Fu, Yi-wei Gao, Zhen-hua Zhong, Zhi-hai Shen, Jing-nan Yin, Jun-qiang Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection |
title | Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection |
title_full | Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection |
title_fullStr | Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection |
title_full_unstemmed | Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection |
title_short | Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection |
title_sort | surgical strategy and application of robotic-assisted benign sacral neurogenic tumor resection |
topic | Spinal |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508466/ https://www.ncbi.nlm.nih.gov/pubmed/36701567 http://dx.doi.org/10.1227/ons.0000000000000493 |
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