Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen
Introduction: Robot ‑assisted surgery is becoming increasingly popular and its application is expanding to various spinal surgical procedures, including endoscopic spinal surgery. Aim: The aim of this study was to describe a novel small parallel orthopedic surgical robot and evaluate its feas...
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| Format: | Article |
| Language: | English |
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Medycyna Praktyczna
2025-02-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | https://www.mp.pl/videosurgery/issue/article/17935/ |
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| author | Nan Su Jiashen Shao Gang Zhu Yu Wang |
| author_facet | Nan Su Jiashen Shao Gang Zhu Yu Wang |
| author_sort | Nan Su |
| collection | DOAJ |
| description | Introduction: Robot ‑assisted surgery is becoming increasingly popular and its application is expanding
to various spinal surgical procedures, including endoscopic spinal surgery.
Aim: The aim of this study was to describe a novel small parallel orthopedic surgical robot and evaluate
its feasibility in assisting surgeons during percutaneous lumbar laminectomy on cadaveric specimens.
Materials and methods: The authors of the study developed a new orthopedic surgical navigation
system (R ‑Pharos, Rossum Robot Co., Ltd, Beijing, China), consisting of a navigation cart and a hybrid
serial ‑parallel bedside robotic arm. The system is equipped with interactive software for selecting and
planning the percutaneous lumbar laminectomy target and path. A cadaveric specimen was selected
for a right ‑side partial laminectomy at L4. During the procedure, the surgeon used the robotic arm to
guide the saw to the target lamina and perform the percutaneous resection. Postoperative cone beam
computed tomography (CBCT) and endoscopic assessments were used to confirm the resection outcome.
Results: After optimizing the precision of the small parallel orthopedic surgical robot to 1 mm, it was
shown to meet the navigational requirements for percutaneous lumbar laminectomy. The surgeon utilized
the interactive software to design the resection range and path for the right L4 lamina which was suc
cessfully resected, as confirmed by endoscopic observation. A postoperative CBCT scan revealed that
the resection area precisely matched the preoperative design.
Conclusions: This study demonstrated that the small parallel orthopedic surgical robot was capable of
preoperatively planning the lamina resection area and could assist the surgeon in performing percutane
ous lumbar laminectomy with high navigational precision. |
| format | Article |
| id | doaj-art-261f09626a384f34b782f0eb8ebdb6bc |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-261f09626a384f34b782f0eb8ebdb6bc2025-08-20T03:24:47ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542025-02-012019910510.20452/wiitm.2025.17935Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimenNan Su0Jiashen Shao1Gang Zhu2Yu Wang3Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Rossum Robot Co., Ltd, Beijing, ChinaSchool of Biological Science and Medical Engineering, Beihang University, Beijing, China; Beijing Advanced Innovation Center for Biomedical Engineering, Beihang University, Beijing, China Introduction: Robot ‑assisted surgery is becoming increasingly popular and its application is expanding to various spinal surgical procedures, including endoscopic spinal surgery. Aim: The aim of this study was to describe a novel small parallel orthopedic surgical robot and evaluate its feasibility in assisting surgeons during percutaneous lumbar laminectomy on cadaveric specimens. Materials and methods: The authors of the study developed a new orthopedic surgical navigation system (R ‑Pharos, Rossum Robot Co., Ltd, Beijing, China), consisting of a navigation cart and a hybrid serial ‑parallel bedside robotic arm. The system is equipped with interactive software for selecting and planning the percutaneous lumbar laminectomy target and path. A cadaveric specimen was selected for a right ‑side partial laminectomy at L4. During the procedure, the surgeon used the robotic arm to guide the saw to the target lamina and perform the percutaneous resection. Postoperative cone beam computed tomography (CBCT) and endoscopic assessments were used to confirm the resection outcome. Results: After optimizing the precision of the small parallel orthopedic surgical robot to 1 mm, it was shown to meet the navigational requirements for percutaneous lumbar laminectomy. The surgeon utilized the interactive software to design the resection range and path for the right L4 lamina which was suc cessfully resected, as confirmed by endoscopic observation. A postoperative CBCT scan revealed that the resection area precisely matched the preoperative design. Conclusions: This study demonstrated that the small parallel orthopedic surgical robot was capable of preoperatively planning the lamina resection area and could assist the surgeon in performing percutane ous lumbar laminectomy with high navigational precision.https://www.mp.pl/videosurgery/issue/article/17935/cadaveric specimenpercutaneous lumbar laminectomypreoperative planningspinal endoscopysurgical robot |
| spellingShingle | Nan Su Jiashen Shao Gang Zhu Yu Wang Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen Videosurgery and Other Miniinvasive Techniques cadaveric specimen percutaneous lumbar laminectomy preoperative planning spinal endoscopy surgical robot |
| title | Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen |
| title_full | Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen |
| title_fullStr | Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen |
| title_full_unstemmed | Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen |
| title_short | Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen |
| title_sort | percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system a trial on a cadaveric specimen |
| topic | cadaveric specimen percutaneous lumbar laminectomy preoperative planning spinal endoscopy surgical robot |
| url | https://www.mp.pl/videosurgery/issue/article/17935/ |
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