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논문 기본 정보

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학술저널
저자정보
이준석 (부산대학교) 손동욱 (부산대학교) 이수훈 (부산대학교 양산병원 신경외과) 이종혁 (부산대학교 양산병원 신경외과) 김영하 (부산대학교 양산병원 신경외과) 이상원 (부산대학교) 오부광 (부산대학교 양산병원 신경외과) 성순기 (부산대학교) 송근성 (부산대학교) 이성 (연세대학교)
저널정보
대한척추신경외과학회 Neurospine Neurospine Vol.21 No.1
발행연도
2024.3
수록면
116 - 127 (12page)
DOI
10.14245/ns.2448006.003

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초록· 키워드

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Objective: This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery. Methods: We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents. Subsequently, we offered a hands-on training program using a dummy to educate one resident. After completing the program, the trained resident performed spinal fusion surgery with robotic assistance under the supervision of a mentor. The clinical outcomes and learning curve associated with robotic surgery were then analyzed. Results: Neurosurgical residents had limited opportunities to participate in spinal surgery during their training. Despite this, there was a significant interest in the emerging field of robotic surgery. A trained resident performed RASS under the supervision of a senior surgeon. A total of 166 screw insertions were attempted in 28 patients, with 2 screws failing due to skiving. According to the Gertzbein-Robbins classification, 85.54% of the screws were rated as grade A, 11.58% as grade B, 0.6% as grade C, and 1.2% as grade D. The clinical acceptance rate was approximately 96.99%, which is comparable to the results reported by senior experts and time per screw statistically significantly decreased as experience was gained. Conclusion: RASS can be performed with high accuracy within a relatively short timeframe, if residents receive adequate training.

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