Brain & spine · 2025
Neurosurgical robot-assisted transnasal endoscopic surgery in orbital-related diseases.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Wu Rui, Sun Gangfeng, Liu Yixin, Zhang Shuo, Wang Xiaopeng, Zhu Qiquan, Wang Guan, Wang Yafei, Liu Weiping
Аннотация
INTRODUCTION: Transnasal endoscopic surgery, with its minimal invasiveness and no facial incisions, is increasingly used for orbital-related diseases. Robot-assisted techniques enhance precision, safety, and efficacy, offering significant advantages in treating these complex conditions involving multiple anatomical structures and nterdisciplinary considerations.
RESEARCH QUESTION: This study reports our experience using robot-assisted transnasal endoscopic surgery for orbital-related diseases.
MATERIAL AND METHODS: We retrospectively analyzed 162 patients (March 2021-July 2024) with orbital-related diseases who underwent robot-assisted transnasal endoscopic surgery: 137 optic nerve injuries, 8 orbital tumors, 8 cranio-orbital communication tumors, 5 orbital abscesses, 4 orbital foreign bodies. Outcomes were assessed via clinical follow-up and imaging.
RESULTS: 161 cases achieved satisfactory treatment without serious complications except for one patient underwent endovascular embolization due to intraoperative bleeding caused by pseudoaneurysm rupture. Among optic nerve injury patients, 66/137 (48.18 %) presented with vision improvement, (36/90 (40 %) were effective in those without light perception, 8/11 (72.73 %) were effective in those with light perception, and 22/36 (61.11 %) were effective in those with better light perception). A 100 % removal rate was achieved in orbital tumors, orbital peripheral abscesses, and foreign bodies. 6/8 (75 %) of cranial-orbital communication tumors were resected completely with the remaining two cases identified pathologically as melanoma and lymphoma.
DISCUSSION AND CONCLUSION: Robot-assisted transnasal endoscopic surgery is a safe, effective and minimally invasive technique, showing potential advantages in procedures of orbital-related diseases such as optic nerve canal decompression, tumor resection, abscess drainage, and foreign body removal. Preoperative vascular-related examinations can be helpful to reduce the surgery-related complications.
RESEARCH QUESTION: This study reports our experience using robot-assisted transnasal endoscopic surgery for orbital-related diseases.
MATERIAL AND METHODS: We retrospectively analyzed 162 patients (March 2021-July 2024) with orbital-related diseases who underwent robot-assisted transnasal endoscopic surgery: 137 optic nerve injuries, 8 orbital tumors, 8 cranio-orbital communication tumors, 5 orbital abscesses, 4 orbital foreign bodies. Outcomes were assessed via clinical follow-up and imaging.
RESULTS: 161 cases achieved satisfactory treatment without serious complications except for one patient underwent endovascular embolization due to intraoperative bleeding caused by pseudoaneurysm rupture. Among optic nerve injury patients, 66/137 (48.18 %) presented with vision improvement, (36/90 (40 %) were effective in those without light perception, 8/11 (72.73 %) were effective in those with light perception, and 22/36 (61.11 %) were effective in those with better light perception). A 100 % removal rate was achieved in orbital tumors, orbital peripheral abscesses, and foreign bodies. 6/8 (75 %) of cranial-orbital communication tumors were resected completely with the remaining two cases identified pathologically as melanoma and lymphoma.
DISCUSSION AND CONCLUSION: Robot-assisted transnasal endoscopic surgery is a safe, effective and minimally invasive technique, showing potential advantages in procedures of orbital-related diseases such as optic nerve canal decompression, tumor resection, abscess drainage, and foreign body removal. Preoperative vascular-related examinations can be helpful to reduce the surgery-related complications.