Nerve tumor excision with robots
Epublication WebSurg.com, Mar 2014;14(03). URL: http://websurg.com/doi/lt03enliverneaux005
Chronic peripheral nerve lesion surgery should not only limit recurrence after excision, but it could also limit sensory and motor sequelae. The aim of this work was to study the interest of telemicrosurgery to improve this result. Our series included 7 patients with peripheral nerve neuroma and tumors including two cases of hereditary neurofibromatosis. A da Vinci S® robot with microsurgical instruments was used for intraneural dissection. One case was performed using a minimally invasive approach. At the last follow-up, pain ranged from 6/10 preoperatively to 3/10 postoperatively. The sensory deficit was stable except in 2 patients whose sensory function was improved. No recurrence was noted. Telemicrosurgery seems to have two interests in the treatment of chronic peripheral nerve lesions: it reduces the size of incisions and increases surgery accuracy. These preliminary results suggest that surgical robots could play an essential role in microsurgery.