두개저 병변에 대한 내시경적 경비강 혹은 경안와 접근술에서 로봇 팔의 활용에 대한 초기 경험

• 영문명: Initial experience of electrical robotic holding arm during endoscopic endonasal or transorbital approach for skull base lesions
• 발행기관: 대한두개저학회
• 저자명: 하창민(Chang-Min Ha) 김민수(Minsoo Kim) 홍상덕(Sang Duk Hong) 우경인(Kyung In Woo) 설호준(Ho Jun Seol) 남도현(Do-Hyun Nam) 이정일(Jung-Il Lee) 공두식(Doo-Sik Kong)
• 간행물 정보: 『대한두개저학회지』제15권 제1호, 10~13쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2020.05.30

영문 초록

Background : Endoscope has improved dramatically and is currently utilized in all fields of neurosurgery. In particular, endoscope is widely used in skull base surgery. However, endoscope possesses innate limitation in which it should be operated manually. To overcome this problem, robotic holding system has been developed and its use is gradually expanding. Methods : Fifty cases in single institution from October to November, 2019 that underwent surgery with assistance by ENDOFIXexo (AKTORmed, Barbing, Germany) were analyzed to evaluate the effectiveness of robotic holding system. All operations were performed by the corresponding author. Results : Total 47 patients underwent operation and 50 cases, including 3 revisions due to cerebrospinal fluid leakage, were reviewed. The histological diagnoses included 35 pituitary adenomas, 7 meningiomas, 2 Rathke’s cleft cysts, 2 craniopharyngiomas, and 1 cavernous hemangioma. No severe or unexpected events such as swaying or fall down of robotic holding system were reported. Conclusions : ENDOFIXexo can be manipulated easily without any discomfort and no significant complications were found. From the study, we showed the effectiveness of the robotic holding system. Growing experience in using the robotic holding system will eventually accelerate the advance of the system and treatment outcome.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

키워드

Skull base lesions Endoscopes Endoscopic surgery Robotic holding system ENDOFIXᵉ ᵡ ᵒ