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DOI: https://doi.org/10.14245/ns.1938134.067    [Accepted]
Published online July 9, 2019.
Robot-Assisted Microendoscopic Discectomy for Lumbar Disc Herniation: Operative Technique
Sultan Alsalmi1,2  , Abdulgadir Bugdadi3,4, Abdu Alkhyari5,6, Johann Peltier1, Michel Lefranc1
1Department of Neurosurgery, Amiens University Medical Center, Amiens University, Amiens, France
2Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
3Department of Neurosurgery, Faculty of Medicine, Sorbonne University, Paris, France
4Department of Surgery, Faculty of Medicine, Umm Al Qura University, Makkah Almukarramah, Saudi Arabia
5Department of Neurosurgery, Faculty of Medicine, University Paris Descartes, Paris, France
6Department of Neurosurgery, King Faisal Medical City, Abha, Saudi Arabia
Corresponding Author:  Sultan Alsalmi
Tel: +33-612867679    Fax: +33-322088940   Email: sultan.alsalmi@hotmail.com
Received: April 22, 2019   Revised: June 30, 2019   Accepted: July 8, 2019
Abstract
Purpose
To describe our experience of microendoscopic discectomy using the ROSA® robot, the O-arm® scanner, and the EasyGO® second-generation endoscope.
Methods
A detailed description of the technique, with explanatory videos. The operation was divided into three main steps: (i) installation of the ROSA® robot and the O-arm® scanner, (ii) installation of the tubular retractor and the endoscope, and (iii) soft tissue removal, bone drilling, and discectomy. Result: Twenty patients underwent robot-assisted microendoscopic discectomy. The outcome was good, in all cases.
Conclusion
Robot-assisted surgical techniques are evolving rapidly. Robotic microendoscopic discectomy using the ROSA® robot, the O-arm® scanner and the EasyGO® second-generation endoscope is feasible. With a view to wider adoption of this technique, comparisons with conventional surgical methods are now required.
Keywords: Robot-assisted microendoscopic discectomy, Robotic surgery, Disc herniation, Low back pain, Minimally invasive surgical procedures


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