Minimally invasive procedures have been increasing in spine surgery, and interest in robotic systems has inclined. In this study, we aimed to evaluate feasibility of a robotic-assisted thoracic spine interbody fusion in a swine model. Neurosurgeons performed the surgical procedures with robotic surgery certificates on the Da Vinci Xi Surgical System. Surgical approaches were applied using four ports while the swine was in the left lateral position. The surgical procedure was accomplished in 70 min including positioning and preparation of robotic system (20 min), placement of ports and thoracic dissection and confirmation of level with the C-arm system (10 min), discectomy and cage insertion (15 min), control of cage position via the C-arm system and closure (10 min). This study showed the anterior thoracic approach with robotic surgery is safe and feasible with providing a wide working area and high image quality.

脊柱手术中的微创手术一直在增加，并且对机器人系统的兴趣已经倾斜。在这项研究中，我们旨在评估机器人辅助胸椎椎间融合术在猪模型中的可行性。神经外科医生使用机器人手术证书在达芬奇 Xi 手术系统上执行手术程序。当猪处于左侧卧位时，使用四个端口应用外科手术方法。手术过程在 70 分钟内完成，包括机器人系统的定位和准备（20 分钟）、端口的放置和胸廓解剖以及与 C 臂系统的水平确认（10 分钟）、椎间盘切除术和笼子插入（15 分钟），通过 C 形臂系统和闭合（10 分钟）控制笼子位置。