Turkish Neurosurgery
Extreme Lateral Lumbar Interbody Fusion Surgery with a Robot-Assisted System in a Swine Model
Gürkan Berikol1, Abuzer Güngör2, Mehmet Berke Göztepe3, Barış Özöner4, Selim Ayhan5, Ebubekir Akpınar2, Çağrı Canbolat6, Mehmet Emin Aksoy7, Murat Şakir Ekşi8
1Taksim Training and Research Hospital, Neurosurgery, İstanbul,
2Istanbul Bakirköy Prof. Dr. Mazhar Osman Ruh Mental and Nervous Diseases Training and Research Hospital, Neurosurgery, istanbul,
3Akdeniz University, School of Medicine, School of Medicine, istanbul,
4Istanbul Kartal Dr. Lütfi Kırdar Training and Research Hospital, Neurosurgery, istanbul,
5Başkent University, Neurosurgery, istanbul,
6Memorial Hizmet Hospital, Neurosurgery, istanbul,
7Acibadem Mehmet Ali Aydınlar University, Vocational School of Health Services, Neurosurgery, istanbul,
8Yeditepe University, School of Medicine, Neurosurgery Research Laboratory, Neurosurgery, istanbul,
DOI: 10.5137/1019-5149.JTN.37409-21.3

Aim:This study aimed to evaluate the technical aspects of the Da Vinci Xi Surgical System in minimally invasive extreme lateral lumbar interbody fusion (XLIF) surgery in a swine model. Material and Methods:Endoscopic discectomy and XLIF cage insertion were performed using a robot-assisted system. The time taken and the pros and cons of each step were recorded.Results:Operative time was 80 min. For the surgery, four ports were used: one for the endoscope camera, two for bipolar forceps, and one auxiliary port modified for discectomy. Discectomy was performed using a punch and curette, following which the cage was inserted through the auxiliary port. Cage position was manipulated using the C-arm. No complications or cage malposition’s were noted during the procedure.Conclusion:This study shows that the robot-assisted XLIF approach is safe and feasible, and it protected the neurovascular structures. High image quality was also obtained during the procedure.

Corresponding author : Gürkan Berikol