Skip to main content
SpringerLink
Log in

Brachial Plexus

  • Chapter
  • First Online:
Telemicrosurgery

  • 1008 Accesses

Abstract

Several interventions remain almost inaccessible to endoscopic surgery, such as brachial plexus injuries. Development of minimally invasive and robot-assisted surgical approaches has the potential to greatly improve the surgical outcome.

Our clinical experience is based on 12 cases of brachial plexus tele-endomicrosurgery operated using a da Vinci robot.

Considering the microsurgical gesture, all nerve repairs were achieved under excellent conditions. Considering the minimally invasive approach, results are yet inconclusive, with a need to convert to open surgery in 9 cases. The reasons for conversion were numerous: difficulties to maintain the resection cavity, unsuited instrumentation, blurring of the stereoscopic vision and major difficulties in visual identification of anatomical landmarks.

In brachial plexus surgery, tele-endomicrosurgery is feasible but faces major constraints regarding the creation, maintenance and navigation inside the working chamber. Adaptation of the endoscopic equipment and use of advanced techniques of augmented reality should address most of these problems.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ayav A, Bresler L, Brunaud L, Boissel P (2004) Early results of one-year robotic surgery using the Da Vinci system to perform advanced laparoscopic procedures. J Gastrointest Surg 8(6):720–726

    Article  PubMed  Google Scholar 

  2. Naito K, Facca S, Lequint T, Liverneaux P (2012) Oberlin’s procedure for restoration of elbow flexion with Da Vinci robot: 4 cases. Plast Reconstr Surg 129(3):707–11

    Article  PubMed  CAS  Google Scholar 

  3. Novak CB, Anastakis DJ, Beaton DE, Mackinnon SE, Katz J (2010) Relationships among pain disability, pain intensity, illness intrusiveness, and upper extremity disability in patients with traumatic peripheral nerve injury. J Hand Surg 35(10):1633–1639

    Article  Google Scholar 

  4. Greenfield BH, Geist K (2011) Evaluation and treatment of brachial plexus lesions. In: Physical therapy of the shoulder, 5th edn. Churchill Livingstone, Saint Louis, pp 163–183

    Google Scholar 

  5. Bollini CA, Wikinski JA (2006) Anatomical review of the brachial plexus. Tech Reg Anesth Pain Manag 10(3):69–78

    Google Scholar 

  6. Gregory J, Cowey A, Jones M, Pickard S, Ford D (2009) The anatomy, investigations and management of adult brachial plexus injuries. Orthop Trauma 23(6):420–432

    Article  Google Scholar 

  7. Altaf F, Mannan K, Sinisi M, Birch R (2008) Severe brachial plexus injuries in rugby: mechanisms and management. Inj Extra 39(5):206–206

    Article  Google Scholar 

  8. Kosiyatrakul A, Jitprapaikulsarn S, Durand S, Oberlin C (2009) Recovery of brachial plexus injury after shoulder dislocation. Injury 40(12):1327–1329

    Article  PubMed  Google Scholar 

  9. Shveiky D, Aseff JN, Iglesia CB (2010) Brachial plexus injury after laparoscopic and robotic surgery. J Minim Invasive Gynecol 17(4):414–420

    Article  PubMed  Google Scholar 

  10. Pillai AK, Ferral H, Desai S, Paruchuri S, Asselmeier S, Perez-Gautrin R (2007) Brachial plexus injury related to patient positioning. J Vasc Interv Radiol 18(7):833–834

    Article  PubMed  Google Scholar 

  11. Hiraki T, Gobara H, Mimura H, Sano Y, Toyooka S, Shibamoto K, Kishi R, Uka M, Kanazawa S (2010) Brachial nerve injury caused by percutaneous radiofrequency ablation of apical lung cancer: a report of four cases. J Vasc Interv Radiol 21(7):1129–1133

    Article  PubMed  Google Scholar 

  12. Monteiro MJ, Altman K, Khandwala A (2010) Injury to the brachial plexus in neck dissections. Br J Oral Maxillofac Surg 48(3):197–198

    Article  PubMed  Google Scholar 

  13. Castillo M (2005) Imaging the anatomy of the brachial plexus: review and self-assessment module. AJR Am J Roentgenol 185(6 Suppl):S196–S204

    Article  PubMed  Google Scholar 

  14. Moser T, Kremer S, Holl N (2009) Imagerie du nerf peripherique: anatomie, techniques d’exploration et principales pathologies. J Radiol 90(10):1448–1448

    Article  Google Scholar 

  15. Brophy RH, Wolfe SW (2005) Planning brachial plexus surgery: treatment options and priorities. Hand Clin 21(1):47–54

    Article  PubMed  Google Scholar 

  16. Mullins GM, O’Sullivan SS, Neligan A, Daly S, Galvin RJ, Sweeney BJ, McNamara B (2007) Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre. Clin Neurol Neurosurg 109(8):661–666

    Article  PubMed  CAS  Google Scholar 

  17. Choi J-Y, Kang CH, Kim B-J, Park K-W, Yu S-W (2009) Brachial plexopathy following herpes zoster infection: two cases with MRI findings. J Neurol Sci 285(1–2):224–226

    Article  PubMed  Google Scholar 

  18. Hof JJ, Kliot M, Slimp J, Haynor DR (2008) What’s new in MRI of peripheral nerve entrapment? Neurosurg Clin N Am 19(4):583–595

    Article  PubMed  Google Scholar 

  19. Cotten A, Chantelot C, Duquesnoy B, Demondion X (2007) Imagerie des syndromes de la traversée cervicothoracobrachiale. Rev Rhum 74(4):333–338

    Article  Google Scholar 

  20. Lacour MC (2009) Intérêt de l’imagerie dans le diagnostic des plexopathies. Rev Neurol 165(12):1134–1139

    Article  PubMed  Google Scholar 

  21. Giuffre JL, Kakar S, Bishop AT, Spinner RJ, Shin AY (2010) Current concepts of the treatment of adult brachial plexus injuries. J Hand Surg 35(4):678–688

    Article  Google Scholar 

  22. Mannan K, Carlstedt T (2006) Injuries to the brachial plexus. Surgery (Oxford) 24(12):409–414

    Article  Google Scholar 

  23. Parvizi J, Kim GK (2010) Brachial plexus injury. High Yield Orthopaedics. W.B. Saunders, Philadelphia, In, pp 68–69

    Google Scholar 

  24. Shenaq SM, Kim JYS, Bullocks J, Joseph GM, Robert DG, Sean GB (2006) Brachial plexus injuries. In: Current therapy in plastic surgery. W.B. Saunders, Philadelphia, pp 574–583

    Chapter  Google Scholar 

  25. Thornton DJA, Kay SPJ (2010) A clinical approach to the management of brachial plexus and peripheral nerve injury. Surgery (Oxford) 28(2):79–84

    Article  Google Scholar 

  26. Liverneaux PA, Diaz LC, Beaulieu J-Y, Durand S, Oberlin C (2006) Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies. Plast Reconstr Surg 117(3):915–9

    Article  PubMed  CAS  Google Scholar 

  27. Moten SC, Kypson AP, Chitwood WR Jr, Joseph AS Jr, Ashutosh T (2008) Use of robotics in other surgical specialties. In: Robotics in urologic surgery. W.B. Saunders, Philadelphia, pp 159–173

    Chapter  Google Scholar 

  28. Zacharopoulou C, Sananes N, Baulon E, Garbin O, Wattiez A (2010) Chirurgie robotique en gynécologie: état des connaissances. Revue de la littérature. J Gynecol Obstet Biol Reprod 39(6):444–452

    Article  CAS  Google Scholar 

  29. Kim HL, Schulam P (2004) The PAKY, HERMES, AESOP, ZEUS, and da Vinci robotic ­systems. Urol Clin North Am 31(4):659–669

    Article  PubMed  Google Scholar 

  30. Byrn JC, Schluender S, Divino CM, Conrad J, Gurland B, Shlasko E, Szold A (2007) Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System. Am J Surg 193(4):519–522

    Article  PubMed  Google Scholar 

  31. Nectoux E, Taleb C, Liverneaux P (2009) Nerve repair in telemicrosurgery: an experimental study. J Reconstr Microsurg 25(4):261–265

    Article  PubMed  Google Scholar 

  32. Marescaux J, Soler L, Rubino F (2005) Augmented reality for surgery and interventional therapy. Oper Tech Gen Surg 7(4):182–187

    Article  Google Scholar 

  33. Nicolau SA, Pennec X, Soler L, Buy X, Gangi A, Ayache N, Marescaux J (2009) An augmented reality system for liver thermal ablation: design and evaluation on clinical cases. Med Image Anal 13(3):494–506

    Article  PubMed  CAS  Google Scholar 

  34. Freudenthal A, Stüdeli T, Lamata P, Samset E (2010) Collaborative co-design of emerging multi-technologies for surgery. J Biomed Inform 44(2):198–215

    Article  PubMed  Google Scholar 

  35. Lee S-L, Lerotic M, Vitiello V, Giannarou S, Kwok K-W, Visentini-Scarzanella M, Yang G-Z (2010) From medical images to minimally invasive intervention: computer assistance for robotic surgery. Comput Med Imaging Graph 34(1):33–45

    Article  PubMed  Google Scholar 

  36. Teber D, Guven S, Simpfendörfer T, Baumhauer M, Güven EO, Yencilek F, Gözen AS, Rassweiler J (2009) Augmented reality: a new tool to improve surgical accuracy during laparoscopic partial nephrectomy? Preliminary in vitro and in vivo results. Eur Urol 56(2):332–338

    Article  PubMed  Google Scholar 

  37. Ukimura O, Gill IS (2009) Image-fusion, augmented reality, and predictive surgical navigation. Urol Clin North Am 36(2):115–123

    Article  PubMed  Google Scholar 

  38. Tan GY, Goel RK, Kaouk JH, Tewari AK (2009) Technological advances in robotic-assisted laparoscopic surgery. Urol Clin North Am 36(2):237–249

    Article  PubMed  Google Scholar 

  39. Archip N, Clatz O, Whalen S, Kacher D, Fedorov A, Kot A, Chrisochoides N, Jolesz F, Golby A, Black PM, Warfield SK (2007) Non-rigid alignment of pre-operative MRI, fMRI, and DT-MRI with intra-operative MRI for enhanced visualization and navigation in image-guided neurosurgery. Neuroimage 35(2):609–624

    Article  PubMed  Google Scholar 

  40. Konishi K, Hashizume M, Nakamoto M, Kakeji Y, Yoshino I, Taketomi A, Sato Y, Tamura S, Maehara Y (2005) Augmented reality navigation system for endoscopic surgery based on three-dimensional ultrasound and computed tomography: application to 20 clinical cases. Int Congress Ser 1281:537–542

    Article  Google Scholar 

  41. Boyer B, Le Marec E, Ait-Ameur A, Hauret L, Dion A, Aterii-Tehau C (2003) Tomodensitométrie: principes, formation de l’image. Encycl Méd Chir (Elsevier, Paris), Radiodiagnostic 37-170(A-10):1–16

    Google Scholar 

  42. Vargas M, Nguyen D, Viallon M, Delavelle J (2009) Imagerie du plexus brachial (PB). J Radiol 90(10):1448–1448

    Article  Google Scholar 

  43. Ben Salem D, Couvreur G, Soichot P, Giroud M, Krausé D, Ricolfi F (2005) Apport de la sequence T2-STIR dans l’exploration des plexopathies brachiales demyelinisantes chroniques. J Radiol 86(10):1249–1249

    Article  Google Scholar 

  44. Viallon M, Vargas MI, Jlassi H, Lovblad KO, Delavelle J (2008) High-resolution and functional magnetic resonance imaging of the brachial plexus using an isotropic 3D T2 STIR (Short Term Inversion Recovery) SPACE sequence and diffusion tensor imaging. Eur Radiol 18(5):1018–1023

    Article  PubMed  CAS  Google Scholar 

  45. Tagliafico A, Succio G, Neumaier CE, Baio G, Serafini G, Ghidara M, Calabrese M, Martinoli C (2012) Brachial plexus assessment with three-dimensional isotropic resolution fast spin echo MRI: comparison with conventional MRI at 3.0 T. Br J Radiol 85(1014):e110–6

    Article  PubMed  CAS  Google Scholar 

  46. Hostettler A, George D, Rémond Y, Nicolau SA, Soler L, Marescaux J (2010) Bulk modulus and volume variation measurement of the liver and the kidneys in vivo using abdominal kinetics during free breathing. Comput Methods Programs Biomed 100(2):149–157

    Article  PubMed  Google Scholar 

  47. Krucker J, Xu S, Glossop N, Viswanathan A, Borgert J, Schulz H, Wood BJ (2007) Electromagnetic tracking for thermal ablation and biopsy guidance: clinical evaluation of spatial accuracy. J Vasc Interv Radiol 18(9):1141–1150

    Article  PubMed  Google Scholar 

  48. Yamanaka Y, Kamogawa J, Katagi R, Kodama K, Misaki H, Kamada K, Okuda S, Morino T, Ogata T, Yamamoto H (2010) 3-D MRI/CT fusion imaging of the lumbar spine. Skeletal Radiol 39(3):285–288

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Hand Surgery, Strasbourg University Hospital, 10 Avenue Baumann, F-67403, Illkirch, Strasbourg, France

    Kiyohito Naito M.D., Thierry Lequint M.D., Sybille Facca M.D. & Philippe Liverneaux M.D., Ph.D.

  2. Department of Orthopeadics, Juntendo University, Tokyo, Japan

    Kiyohito Naito M.D.

  3. Department of Radiology, Strasbourg University Hospital, Strasbourg, France

    Mickaël Ohana M.D.

  4. Department of Orthopeadics, Grand Hôpital, Charleroi, Belgium

    Thierry Lequint M.D.

  5. European Institute of TeleSurgery, IRCAD, F-67000, Strasbourg, France

    Philippe Liverneaux M.D., Ph.D.

Authors
  1. Kiyohito Naito M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mickaël Ohana M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Thierry Lequint M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sybille Facca M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Philippe Liverneaux M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Philippe Liverneaux M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Centre de Chirurgie, Orthopédique et de la Main (CCOM), Hôpitaux Universitaires de Strasbourg, av. Achille Baumann 10, Illkirch CX, 67403, France

    Philippe A. Liverneaux

  2. , Department of Orthopedic Surgery, Northwest Hospita, Crossroads Drive 10, Owings Mills, Baltimore, 21117, Maryland, USA

    Stacey H. Berner

  3. , Orthopaedic Surgery and Rehabilitation, Loyola University, Chicago, S. First Avenue 2160, Maywood, 60153, Illinois, USA

    Michael S. Bednar

  4. University of Florida, Director, Robotic Surgery, Winter Haven Hospital &, 200 Avenue F. N.E., Winter Haven, 33881, Florida, USA

    Sijo J. Parekattil

  5. São Paolo Hand Center, Rua Maestro Cardim 987, Sao Paolo, 01323-001, Brazil

    Gustavo Mantovani Ruggiero

  6. , Department of Plastic Surgery, M.D. Anderson Cancer Center, Pressler St 1400, Houston, 77030, Texas, USA

    Jesse C. Selber

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag France

About this chapter

Cite this chapter

Naito, K., Ohana, M., Lequint, T., Facca, S., Liverneaux, P. (2013). Brachial Plexus. In: Liverneaux, P., Berner, S., Bednar, M., Parekattil, S., Mantovani Ruggiero, G., Selber, J. (eds) Telemicrosurgery. Springer, Paris. https://doi.org/10.1007/978-2-8178-0391-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-2-8178-0391-3_15

  • Published:

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0390-6

  • Online ISBN: 978-2-8178-0391-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation