Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/3854
Full metadata record
DC FieldValueLanguage
dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorMELO, P. M. Porto de-
dc.contributor.authorGARCIA, J. C.-
dc.contributor.authorMONTERO, E. F. de Souza-
dc.contributor.authorATIK, T.-
dc.contributor.authorROBERT, E. -G.-
dc.contributor.authorFACCA, S.-
dc.contributor.authorLIVERNEAUX, P. -A.-
dc.date.accessioned2014-01-28T22:16:03Z-
dc.date.available2014-01-28T22:16:03Z-
dc.date.issued2013-
dc.identifier.citationCHIRURGIE DE LA MAIN, v.32, n.4, p.206-209, 2013-
dc.identifier.issn1297-3203-
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/3854-
dc.description.abstractSurgery to transfer the axillary nerve and the nerve of the long head of the triceps presents two obstacles: 1) the access portals are not standardized and 2) the nerves are for their larger part approached through large incisions. The goal of this study was to explore the feasibility of an endoscopic microsurgical approach. The posterior aspect of a cadaver shoulder was approached through three communicating mini-incisions. The Da Vinci robot camera was installed on a central trocart, and the instrument arms on the adjacent trocarts. A gas insufflation distended the soft tissues up to the lateral axillary space. The branches of the axillary nerve and the nerve to the long head of the triceps brachii muscle were identified. The dissection of the axillary nerve trunk and its branches was easy. The posterior humeral circumflex veins and artery were dissected as well without any difficulty. Finding the nerve to the long head of the triceps brachii was found to be more challenging because of its deeper location. Robots properties allow performing conventional microsurgery elimination of the physiologic tremor and multiplication of the movements. They also facilitate the endoscopic approach of the peripheral nerves, as seen in our results on the terminal branches of the axillary nerve and the nerve to the long head of the triceps brachii.-
dc.description.abstractLes transferts chirurgicaux du nerf axillaire et du nerf du chef long du triceps brachial présentent deux obstacles: 1)les voies d’abord ne sont pas standardisées et 2)les nerfs sont, pour leur plus grande partie, abordés à travers de larges incisions. Le but de cette étude était d’explorer la faisabilité d’une voie d’abord endoscopique microchirurgicale. La face postérieure d’une épaule de cadavre a été abordée par l’intermédiaire de trois mini-incisions communiquant les unes avec les autres. La caméra du robot Da Vinci a été installée sur le trocart central et les bras instrumentaux sur les trocarts adjacents.Une insufflation de gaz a distendu les parties molles jusqu’à l’espace axillaire latéral. Les branches du nerf axillaire et le nerf du chef long du triceps brachial ont été identifiés. La dissection du tronc du nerf axillaire et de ses branches fut aisée. L’artère et les veines circonflexes humérales postérieures furent disséquées également sans difficulté. La découverte du nerf du chef long du triceps brachial fut plus difficile en raison de sa localisation plus profonde. Les propriétés des robots permettent la réalisation d’une microchirurgie conventionnelle :élimination du tremblement physiologique et démultiplication des mouvements. Ils facilitent de la même façon l’abord endoscopique des nerfs périphériques, comme dans notre étude celle des branches terminales du nerf axillaire et du nerf du chef long du triceps brachial.-
dc.language.isoeng-
dc.publisherELSEVIER-
dc.relation.ispartofChirurgie de La Main-
dc.rightsrestrictedAccess-
dc.subjectEndoscopic microsurgery-
dc.subjectRobot-
dc.subjectDa Vinci-
dc.subjectChirurgie endoscopique-
dc.subject.otherplexus-
dc.subject.otherrepair-
dc.subject.othermuscle-
dc.subject.otherparalysis-
dc.subject.othertransfers-
dc.subject.otherinjuries-
dc.subject.otheradhesion-
dc.subject.otheroutcomes-
dc.titleFeasibility of an endoscopic approach to the axillary nerve and the nerve to the long head of the triceps brachii with the help of the Da Vinci Robot-
dc.typearticle-
dc.rights.holderCopyright ELSEVIER-
dc.identifier.doi10.1016/j.main.2013.05.003-
dc.identifier.pmid23867724-
dc.subject.wosSurgery-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-
hcfmusp.author.externalMELO, P. M. Porto de:Ctr Adv Studies Orthoped & Neurosurg, Sao Paulo, Brazil; Brazilian Army, Sao Paulo Mil Area Hosp, Neurosurg Dept, Sao Paulo, Brazil-
hcfmusp.author.externalGARCIA, J. C.:Ctr Adv Studies Orthoped & Neurosurg, Sao Paulo, Brazil-
hcfmusp.author.externalATIK, T.:Cent Jersey Hand Surg PA, Eatontown, NJ USA-
hcfmusp.author.externalROBERT, E. -G.:Strasbourg Univ Hosp, Dept Hand Surg, F-67403 Illkirch Graffenstaden, France-
hcfmusp.author.externalFACCA, S.:Strasbourg Univ Hosp, Dept Hand Surg, F-67403 Illkirch Graffenstaden, France-
hcfmusp.author.externalLIVERNEAUX, P. -A.:Strasbourg Univ Hosp, Dept Hand Surg, F-67403 Illkirch Graffenstaden, France; Univ Paris 05, Ecole Europeenne Chirurg, F-75006 Paris, France-
hcfmusp.description.beginpage206-
hcfmusp.description.endpage209-
hcfmusp.description.issue4-
hcfmusp.description.volume32-
hcfmusp.origemWOS-
hcfmusp.origem.idWOS:000326207000003-
hcfmusp.origem.id2-s2.0-84883456019-
hcfmusp.publisher.cityBRIDGEWATER-
hcfmusp.publisher.countryUSA-
hcfmusp.relation.referenceAlnot JY, 1996, REV CHIR ORTHOP, V82, P579-
hcfmusp.relation.referenceBertelli JA, 2011, MICROSURG, V31, P376, DOI 10.1002/micr.20883-
hcfmusp.relation.referenceBertelli JA, 2007, J NEUROSURG, V107, P370, DOI 10.3171/JNS-07/08/0370-
hcfmusp.relation.referenceCarlstedt T, 2011, J HAND SURG-EUR VOL, V36E, P726, DOI 10.1177/1753193411422329-
hcfmusp.relation.referenceJerome JTJ, 2012, MICROSURG, V32, P445, DOI 10.1002/micr.21973-
hcfmusp.relation.referenceLeechavengvongs S, 2003, J HAND SURG-AM, V28A, P633, DOI 10.1016/S0363-5023(03)00199-0-
hcfmusp.relation.referenceLeechavengvongs S, 2006, J HAND SURG-AM, V31A, P183, DOI 10.1016/j.jhsa.2005.09.019-
hcfmusp.relation.referenceLei Y, 2011, EUR UROL, V59, P235, DOI 10.1016/j.eururo.2010.08.043-
hcfmusp.relation.referenceLequint T, 2012, J RECONSTR MICROSURG, V28, P473, DOI 10.1055/s-0032-1313759-
hcfmusp.relation.referenceMalungpaishrope K, 2012, J HAND SURG-AM, V37A, P677, DOI 10.1016/j.jhsa.2011.12.034-
hcfmusp.relation.referenceMantovani G, 2011, J NEUROSURG, V115, P659, DOI 10.3171/2011.3.JNS10931-
hcfmusp.relation.referenceNaito K, 2012, PLAST RECONSTR SURG, V129, P707, DOI 10.1097/PRS.0b013e318241287f-
hcfmusp.relation.referenceNectoux E, 2009, J RECONSTR MICROSURG, V25, P261, DOI 10.1055/s-0028-1104562-
hcfmusp.relation.referenceOhsumi H, 2005, PLAST RECONSTR SURG, V116, P823, DOI 10.1097/01.prs.0000176893.44656.8e-
hcfmusp.relation.referencePanchulidze Irakli, 2011, Hand Surg, V16, P1, DOI 10.1142/S0218810411004984-
hcfmusp.relation.referenceTerzis JK, 1999, PLAST RECONSTR SURG, V104, P1221, DOI 10.1097/00006534-199910000-00001-
hcfmusp.relation.referenceVekris MD, 2010, INJURY, V41, P312, DOI 10.1016/j.injury.2009.09.009-
hcfmusp.relation.referenceWitoonchart K, 2003, J HAND SURG-AM, V28A, P628, DOI 10.1016/S0363-5023(03)00200-4-
hcfmusp.relation.referenceYamamoto M, 2010, J ORTHOP RES, V28, P284, DOI 10.1002/jor.21004-
dc.description.indexMEDLINE-
hcfmusp.citation.scopus23-
hcfmusp.scopus.lastupdate2024-03-08-
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCG
Departamento de Cirurgia - FM/MCG

Artigos e Materiais de Revistas Científicas - LIM/62
LIM/62 - Laboratório de Fisiopatologia Cirúrgica


Files in This Item:
File Description SizeFormat 
art_MONTERO_Feasibility_of_an_endoscopic_approach_to_the_axillary_2013.PDF
  Restricted Access
publishedVersion (English)1.05 MBAdobe PDFView/Open Request a copy

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.