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

Chir Main. 2014 Oct;33(5):356-60. doi: 10.1016/j.main.2014.07.006. Epub 2014 Sep 16.

Abstract

The 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.

Keywords: Brachial plexus; Da Vinci robot; Microchirurgie robotique; Nerf phrénique; Phrenic nerve; Plexus brachial; Robot Da Vinci; Robot-assisted microsurgery; Telemicrosurgery; Télémicrochirurgie.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Feasibility Studies
  • Models, Animal
  • Operative Time
  • Phrenic Nerve / surgery*
  • Robotic Surgical Procedures*
  • Swine
  • Tissue and Organ Harvesting / instrumentation*