Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation

ObjectiveTo explore the application effect of robot-assisted surgery combined with three-dimensional (3D) image registration for lumbar disc herniation. Methods112 patients with lumbar disc herniation who underwent surgery in Baoji Central Hospital from January 2021 to December 2022 were selected, a...

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Main Authors: Duzhe QU, Changchun CHEN
Format: Article
Language:English
Published: Shanghai Chinese Clinical Medicine Press Co., Ltd. 2024-12-01
Series:Zhongguo Linchuang Yixue
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Online Access:https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2024.20241012
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author Duzhe QU
Changchun CHEN
author_facet Duzhe QU
Changchun CHEN
author_sort Duzhe QU
collection DOAJ
description ObjectiveTo explore the application effect of robot-assisted surgery combined with three-dimensional (3D) image registration for lumbar disc herniation. Methods112 patients with lumbar disc herniation who underwent surgery in Baoji Central Hospital from January 2021 to December 2022 were selected, and were divided into the robot-assisted surgery group (robot group, n=56) and traditional open surgery group (traditional group, n=56). The operation time, intraoperative blood loss, postoperative hospital stay, and other indicators were compared between the two groups. Visual analogue scale (VAS) and Oswestry disability index (ODI) were used to evaluate the efficacy at 6 and 12 months after surgery. ResultsThere were no significant differences in gender, age, body mass index (BMI), disease course and lesion segment between the robot group and the traditional group. In the robot group, the average image registration time was (7.8±2.1) min, the registration accuracy was within 1 mm, and the success rate of intraoperative navigation positioning was 98.21% (55/56). Compared with traditional group, the operation time and postoperative hospital stay were shorter and intraoperative blood loss was less in the robot group (P<0.01). The total incidence of postoperative complications was 3.57% (2/56) and 14.29% (8/56) in the robot group and the traditional group, respectively (P>0.05). The VAS scores and ODI values in the robot group were lower than those in the traditional group at 6 and 12 months after surgery (P<0.01). ConclusionsThe application of 3D medical image registration technology in robot-assisted lumbar disc herniation surgery can significantly improve surgical precise positioning, shorten operation time, reduce blood loss, and improve postoperative function, which is worthy of clinical promotion and application.
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spelling doaj-art-59ab0f4faeb64d549fa86a26659e66092025-08-20T02:35:30ZengShanghai Chinese Clinical Medicine Press Co., Ltd.Zhongguo Linchuang Yixue1008-63582024-12-0131696697010.12025/j.issn.1008-6358.2024.2024101220241012Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniationDuzhe QU0Changchun CHEN1Department of Orthopedics, Baoji Central Hospital, Baoji 721400, Shaanxi, ChinaDepartment of Orthopedics, Baoji Central Hospital, Baoji 721400, Shaanxi, ChinaObjectiveTo explore the application effect of robot-assisted surgery combined with three-dimensional (3D) image registration for lumbar disc herniation. Methods112 patients with lumbar disc herniation who underwent surgery in Baoji Central Hospital from January 2021 to December 2022 were selected, and were divided into the robot-assisted surgery group (robot group, n=56) and traditional open surgery group (traditional group, n=56). The operation time, intraoperative blood loss, postoperative hospital stay, and other indicators were compared between the two groups. Visual analogue scale (VAS) and Oswestry disability index (ODI) were used to evaluate the efficacy at 6 and 12 months after surgery. ResultsThere were no significant differences in gender, age, body mass index (BMI), disease course and lesion segment between the robot group and the traditional group. In the robot group, the average image registration time was (7.8±2.1) min, the registration accuracy was within 1 mm, and the success rate of intraoperative navigation positioning was 98.21% (55/56). Compared with traditional group, the operation time and postoperative hospital stay were shorter and intraoperative blood loss was less in the robot group (P<0.01). The total incidence of postoperative complications was 3.57% (2/56) and 14.29% (8/56) in the robot group and the traditional group, respectively (P>0.05). The VAS scores and ODI values in the robot group were lower than those in the traditional group at 6 and 12 months after surgery (P<0.01). ConclusionsThe application of 3D medical image registration technology in robot-assisted lumbar disc herniation surgery can significantly improve surgical precise positioning, shorten operation time, reduce blood loss, and improve postoperative function, which is worthy of clinical promotion and application.https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2024.20241012degenerative disc diseaserobot-assisted surgerythree-dimensional imagingregistration
spellingShingle Duzhe QU
Changchun CHEN
Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation
Zhongguo Linchuang Yixue
degenerative disc disease
robot-assisted surgery
three-dimensional imaging
registration
title Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation
title_full Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation
title_fullStr Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation
title_full_unstemmed Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation
title_short Clinical efficiency of three-dimensional image registration in robot-assisted surgery for lumbar disc herniation
title_sort clinical efficiency of three dimensional image registration in robot assisted surgery for lumbar disc herniation
topic degenerative disc disease
robot-assisted surgery
three-dimensional imaging
registration
url https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2024.20241012
work_keys_str_mv AT duzhequ clinicalefficiencyofthreedimensionalimageregistrationinrobotassistedsurgeryforlumbardischerniation
AT changchunchen clinicalefficiencyofthreedimensionalimageregistrationinrobotassistedsurgeryforlumbardischerniation