Retrospective analysis of robot-assisted laparoscopic transabdominal anterior approach for the treatment of lumbar paravertebral schwannoma

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2023-11-27 DOI:10.1002/rcs.2600

Changfeng Zhao, Haibin Wei, Alin Ji, Kaichuang Yang, Jia Lyu, YunKai Yang

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Abstract

Background

The main objective of this study was to investigate the impact of robot-assisted laparoscopic resection on paravertebral tumours using the anterior peritoneal approach.

Methods

A retrospective analysis to identify patients with paravertebral tumours. A total of 21 patients, who underwent robot-assisted laparoscopic transabdominal anterior approach surgery from March 2012 to August 2020.

Results

The median operation time was 66.2 ± 14.5 min, with a range of 0–100 min. Intraoperative blood loss was minimal, with a median of 11.4 ± 7.9 mL and a range of 5–30 mL. The median tumour length was 4.8 ± 2.3 cm, ranging from 2.1 to 11.3 cm. Postoperative hospitalisation lasted for a median of 3.2 ± 0.9 days. During the 48-month follow-up period, no tumour recurrence or residual was observed in any patient.

Conclusions

Robot-assisted laparoscopic resection of lumbar paravertebral schwannoma proved to be a safe and viable surgical approach. It offers a relatively new treatment option for paraspinal schwannoma.

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机器人辅助腹腔镜经腹前路治疗腰椎椎旁神经鞘瘤的回顾性分析。

背景:本研究的主要目的是探讨机器人辅助腹腔镜下经腹膜前入路切除椎旁肿瘤的影响。方法:对椎管旁肿瘤患者进行回顾性分析。2012年3月至2020年8月，共有21例患者接受了机器人辅助腹腔镜经腹前路手术。结果:手术时间中位数为66.2±14.5 min，范围为0 ~ 100 min。术中出血量最小，中位数为11.4±7.9 mL，范围为5 ~ 30 mL。肿瘤长度中位数为4.8±2.3 cm，范围为2.1 ~ 11.3 cm。术后住院时间中位数为3.2±0.9天。在48个月的随访期间，所有患者均未发现肿瘤复发或残留。结论:机器人辅助腹腔镜下腰椎椎旁神经鞘瘤切除术是一种安全可行的手术方法。它为脊髓旁神经鞘瘤提供了一种相对较新的治疗选择。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.