• Chirurgie de la main · Oct 2014

    Robotic phrenic nerve harvest: a feasibility study in a pig model.

    • P Porto de Melo, H Miyamoto, T Serradori, G Ruggiero Mantovani, J Selber, S Facca, W-D Xu, N Santelmo, and P Liverneaux.
    • Center for Advanced Studies in Orthopedics and Neurosurgery, São Paulo, Brazil; Neurosurgery Department, São Paulo Military Área Hospital, Brazilian Army, São Paulo, Brazil; Institute of Education and Sciences, German Hospital Oswaldo Cruz, São Paulo, Brazil.
    • Chir Main. 2014 Oct 1; 33 (5): 356-60.

    AbstractThe aim of this study was to report on the feasibility of robotic phrenic nerve harvest in a pig model. A surgical robot (Da Vinci S™ system, Intuitive Surgical(®), Sunnyvale, CA) was installed with three ports on the pig's left chest. The phrenic nerve was transected distally where it enters the diaphragm. The phrenic nerve harvest was successfully performed in 45 minutes without major complications. The advantages of robotic microsurgery for phrenic nerve harvest are the motion scaling up to 5 times, elimination of physiological tremor, and free movement of joint-equipped robotic arms. Robot-assisted neurolysis may be clinically useful for harvesting the phrenic nerve for brachial plexus reconstruction. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

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