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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:
Werner Kneist,
Department of General, Visceral and Transplant Surgery, University Medicine of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131 Mainz
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_12_18

PMID: 29582794

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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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04