臨床整形外科57巻8号

2022年08月発行

特集 整形外科ロボット支援手術 脊椎編

脊椎手術におけるナビゲーション支援とロボット支援手術

著者： 金村徳相¹ 伊藤研悠¹ 都島幹人¹ 富田浩之¹ 長谷康弘¹ 大出幸史² 大内田隼² 中島宏彰² 今釜史郎²

所属機関： ¹江南厚生病院・脊椎脊髄センター ²名古屋大学医学部整形外科

ページ範囲：P.981 - P.996

ナビゲーション支援脊椎手術は術中3D画像装置により大きく進化し，脊椎手術の安全性や侵襲低減化に寄与してきたが，視覚的支援のみで手技自体を直接支援しない．最新IT技術を備えた脊椎手術支援ロボットは脊椎ナビゲーション機能を基本に多軸性ロボットアームがインストゥルメント手技を強固に保持することで，手術操作のばらつきを抑えることが期待されている．本邦でも2021年より臨床使用が開始されたが，本邦での普及のためには手術侵襲低減化，合併症回避，治療の質的向上などの検証とともに費用対効果の改善が望まれる．

参考文献

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