Sept. 05, 2019
使用新型机器人引导技术的脊柱手术
使用新型机器人引导技术的脊柱手术
Mohamad Bydon,医学博士,妙佑医疗国际明尼苏达州罗切斯特院区神经外科医生,领导团队使用机器人引导技术进行脊柱手术。
Mayo Clinic in Rochester, Minnesota, was the first center in the upper Midwest to perform spinal surgery using the latest robot-guided technology. The system, which incorporates advanced software to enhance surgical precision, is also available at Mayo Clinic's campuses in Arizona and Florida.
"Our team at Mayo Clinic has performed more than 20 spinal robotic surgeries since acquiring the system in fall 2018, with positive results thus far," says Mohamad Bydon, M.D., a neurosurgeon at Mayo Clinic's campus in Minnesota. "Even at this early stage, it is clear that robotic technology can make spinal surgeries safer and more efficient, and result in better outcomes."
Mayo Clinic spent almost two years studying various systems before committing to the new technology, which is currently used for surgery in the thoracic and lumbar spine.
The basis of robotic spine surgery is navigational software that was partly developed at Mayo Clinic. Mayo is collecting data from its use of the new system to further develop the technology, in conjunction with the manufacturer.
"Having a robust database from all three of our campuses will allow us to help advance this technology," says Selby G. Chen, M.D., a neurosurgeon at Mayo Clinic in Jacksonville, Florida.
Accuracy, efficiency and safety
L4-S1 经椎间孔椎体间融合术时插入的脊柱硬件
L4-S1 经椎间孔椎体间融合术时插入的脊柱硬件
术后 X 线检查显示了在妙佑医疗国际佛罗里达州杰克逊维尔院区进行机器人辅助微创 L4-S1 经椎间孔椎体间融合术时插入的脊柱硬件。患者为 74 岁的男性,既往因右下肢无力而接受过右侧 L4 和 L5 椎间孔切开术,无显著疗效。微创融合术大大改善了他的腿部力量。
The new system's major benefit is greater precision in the placement of hardware during spinal surgery. CT or fluoroscopic imaging before and during surgery help determine the path used by the robot at every level of the spine.
"The system's software guides the robotic arm into position during surgery. In that way the surgical plan is translated to trajectory guidance in the surgical field," Dr. Bydon says. "The accuracy achieved with the system has been excellent. In addition, the disruption to tissue has been less than we would normally see. We've noted that patients have less postoperative pain, lower use of pain medication and shorter hospitalization."
One of the first patients to undergo surgery with the new system had spinal instability and spondylolisthesis in addition to severe spinal stenosis. He underwent successful robotic surgery and has experienced an excellent outcome to date.
手术视野中的入路引导
手术视野中的入路引导
精密的软件可将手术方案转换为手术视野中的入路引导。
Advanced software distinguishes the new system from previous technology. Mayo Clinic's data will be used to refine the software and further improve the system.
"Currently, the robot's primary utility is with the placement of spinal instrumentation. But as the software becomes more sophisticated, I imagine the robot will be able to assist us in other parts of the surgery, including bone work, disk preparation and potentially even deformity correction," Dr. Chen says.
"Software has the ability to change how we do surgeries in the future," Dr. Bydon adds. "Our team at Mayo Clinic is at the forefront of that effort. Bringing robotic technology into the operating room can make spinal surgery safer and more reproducible, to benefit more patients."
The Patient Experience at Mayo Clinic
All three Mayo Clinic campuses use the latest robot-guided technology for thoracic and lumbar spinal surgery, when appropriate. Learn more about what patients experience with robot-guided spinal surgery at Mayo Clinic.
For more information
Robotic-assisted spinal surgery improves outcomes. Mayo Clinic.