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首页> 外文期刊>Neurosurgical focus >Endoscopic endonasal transsphenoidal surgery using the iArmS operation support robot: initial experience in 43 patients
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Endoscopic endonasal transsphenoidal surgery using the iArmS operation support robot: initial experience in 43 patients

机译：使用iArmS手术支持机器人进行内窥镜鼻内蝶窦手术：43例患者的初步经验

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Objective The intelligent arm-support system, iArmS, which follows the surgeon’s arm and automatically fixes it at an adequate position, was developed as an operation support robot. iArmS was designed to support the surgeon’s forearm to prevent hand trembling and to alleviate fatigue during surgery with a microscope. In this study, the authors report on application of this robotic device to endoscopic endonasal transsphenoidal surgery (ETSS) and evaluate their initial experiences. Methods The study population consisted of 43 patients: 29 with pituitary adenoma, 3 with meningioma, 3 with Rathke’s cleft cyst, 2 with craniopharyngioma, 2 with chordoma, and 4 with other conditions. All patients underwent surgery via the endonasal transsphenoidal approach using a rigid endoscope. During the nasal and sphenoid phases, iArmS was used to support the surgeon’s nondominant arm, which held the endoscope. The details of the iArmS and clinical results were collected. Results iArmS followed the surgeon’s arm movement automatically. It reduced the surgeon’s fatigue and stabilized the surgeon’s hand during ETSS. Shaking of the video image decreased due to the steadying of the surgeon’s scope-holding hand with iArmS. There were no complications related to use of the device. Conclusions The intelligent armrest, iArmS, seems to be safe and effective during ETSS. iArmS is helpful for improving the precision and safety not only for microscopic neurosurgery, but also for ETSS. Ongoing advances in robotics ensure the continued evolution of neurosurgery.
机译：目标开发了智能手臂支撑系统iArmS，该系统可跟随手术人员的手臂并自动将其固定在适当的位置，是作为操作支持机器人而开发的。 iArmS旨在支持外科医生的前臂，以防止手颤抖并在显微镜下减轻手术过程中的疲劳。在这项研究中，作者报告了该机器人设备在内窥镜鼻内蝶窦手术（ETSS）中的应用，并评估了他们的初步经验。方法该研究人群包括43例患者：29例垂体腺瘤，3例脑膜瘤，3例Rathke裂囊肿，2例颅咽管瘤，2例脊索瘤和4例其他情况。所有患者均使用硬性内窥镜经鼻经蝶窦入路进行手术。在鼻和蝶骨阶段，iArmS用于支撑外科医生的非优势臂，后者支撑着内窥镜。收集了iArmS的详细信息和临床结果。结果iArmS自动跟随外科医生的手臂运动。在ETSS期间，它减轻了外科医生的疲劳并稳定了外科医生的手。由于外科医生使用iArmS的示波器握持手稳定，视频图像的抖动减少了。没有与使用该设备有关的并发症。结论智能扶手iArmS在ETSS期间似乎是安全有效的。 iArmS不仅有助于提高显微神经外科手术的精确度和安全性，还有助于提高ETSS的准确性和安全性。机器人技术的不断进步确保了神经外科的不断发展。

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