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 INSTRUMENTS AND EQUIPMENTS
Year : 2019  |  Volume : 15  |  Issue : 2  |  Page : 182-183

Application of a newly designed microfork probe for robotic-guided pelvic intraoperative neuromapping


1 Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
2 Department of Surgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA

Correspondence Address:
Dr. Werner Kneist
Department of General, Visceral and Transplant Surgery, University Medicine of the Johannes Gutenberg University Mainz, Langenbeckstrase 1, 55131 Mainz
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_12_18

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Introduction: Robotic-assisted total mesorectal excision (TME) with pelvic intraoperative neuromapping was recently accomplished. However, neuromapping is conventionally conducted by a hand-guided laparoscopic probe. We introduce a prototype microfork probe to make robotic-guided neuromapping feasible. Experiments and Technical Setup: Two porcine experiments with nerve-sparing TME surgery were performed. A newly designed prototype bipolar microfork probe was inserted intraabdominally and guided with the robotic forceps. Intermittent neuromapping was then conducted and neuromonitoring data integrated in the surgeon console viewer. Conclusion: Robotic-guided neuromapping is shown to be feasible and fully controllable from the surgeon console.






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Published by Wolters Kluwer - Medknow
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