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Robotic anterior and midline skull base surgery: preclinical investigations.

Robotic anterior and midline skull base surgery: preclinical investigations. Research Abstract Details 

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  • Robotic anterior and midline skull base surgery: preclinical investigations. Abstract Text:

    bert w o'malleyBert W O'Malley,gregory s weinsteinGregory S Weinstein,

    PURPOSE: To develop a minimally invasive surgical technique to access the midline and anterior skull base using the optical and technical advantages of robotic surgical instrumentation. METHODS AND MATERIALS: Ten experimental procedures focusing on approaches to the nasopharynx, clivus, sphenoid, pituitary sella, and suprasellar regions were performed on one cadaver and one live mongrel dog. Both the cadaver and canine procedures were performed in an approved training facility using the da Vinci Surgical Robot. For the canine experiments, a transoral robotic surgery (TORS) approach was used, and for the cadaver a newly developed combined cervical-transoral robotic surgery (C-TORS) approach was investigated and compared with standard TORS. The ability to access and dissect tissues within the various areas of the midline and anterior skull base were evaluated, and techniques to enhance visualization and instrumentation were developed. RESULTS: Standard TORS approaches did not provide adequate access to the midline and anterior skull base; however, the newly developed C-TORS approach was successful in providing the surgical access to these regions of the skull base. CONCLUSION: Robotic surgery is an exciting minimally invasive approach to the skull base that warrants continued preclinical investigation and development.

    Robotic anterior and midline skull base surgery: preclinical investigations. Publishing Authors By Initials

    bw o'malleyBW O'Malley,gs weinsteinGS Weinstein,

    For similar neoplasms: neoplasms by site: bone neoplasms: skull neoplasms: skull base neoplasms research abstracts see: neoplasms: neoplasms by site: bone neoplasms: skull neoplasms: skull base neoplasms research

    PUBMED ID PMID:

    MEDLINE DATE:

    Robotic anterior and midline skull base surgery: preclinical investigations. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: International journal of radiation oncology, biolo

    VOLUME: 69

    Page Numbers: S125-8

    Journal Abbreviation: Int. J. Radiat. Oncol. Biol. P

    ISSN: 0360-3016

    DAY: 28

    MONTH: 11

    YEAR: 2007

    Robotic anterior and midline skull base surgery: preclinical investigations. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7603616

    Robotic anterior and midline skull base surgery: preclinical investigations. Keywords Mesh Terms:

    KEYWORDS: Skull Base Neoplasms

    MESH TERMS: surgery

    Chemical & Substance for Abstract: Robotic anterior and midline skull base surgery: preclinical investigations. Information

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    Grant and Affiliation Information for Robotic anterior and midline skull base surgery: preclinical investigations.

    AFFILIATION: Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA. bert.omalley@uphs.upenn.edu

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Int J Radiat Oncol Biol Phys

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