[Assisting Minimally Invasive Surgery with Precision] Endoscopic Fusion + Robotic Navigation for More Precise, Minimally Invasive, and Safer Surgeries!


From traditional open surgery to semi-open surgery and now robot-assisted minimally invasive surgery, each technological innovation has significantly reduced surgical trauma, improved surgical precision, and accelerated patient recovery.

The Evolution of Lumbar Fusion Surgery

The progression of lumbar fusion surgery reflects advances in medical technology. Traditional open surgery, performed through a large incision, is straightforward and easy to operate but damages surrounding muscles and structures, leading to longer recovery times. Minimally invasive surgery (such as MIS-TLIF), conducted through a microscope or microendoscopic view, involves smaller incisions compared to traditional surgery but still falls under semi-open surgery.

MIS-TLIF Surgery Illustration

In recent years, endoscopic technology has gradually been introduced into the field of spinal fusion, bringing new directions for spinal surgery. Endoscopic fusion techniques, an advancement of foraminal endoscopy, allow minimally invasive operations under direct vision. Surgeons perform nerve decompression, disc handling, and placement of fusion devices through an incision about 2 cm in size, followed by percutaneous pedicle screw fixation. This surgical approach results in less damage to surrounding tissues and faster recovery.

The application of orthopedic surgical robots brings even greater precision and safety to minimally invasive surgeries. Robots provide accurate positioning and navigation tailored to the patient’s individual differences, assisting surgeons in their operations and significantly improving surgical success rates and patient satisfaction.

Combining Endoscopy and Robotics for Precision in Minimally Invasive Surgery

Traditional endoscopic fusion surgeries often rely on the surgeon’s experience and preoperative CT and lateral X-ray images for a “blind” approach. Perlove Medical’s orthopedic surgical robots enhance the accuracy and safety of these procedures through precise positioning and navigation.

Case Studies

Patient 1: Lumbar Disc Herniation with Radiculopathy

Surgical Plan: Robot-assisted endoscopic lumbar discectomy + fusion + percutaneous pedicle screw fixation

Preoperative Imaging

All Screws Planned with Intraoperative 3D Imaging

Accurate Placement of Minimally Invasive Screws

Patient 2: Lumbar Disc Herniation with SciaticaSurgical Plan: Robot-assisted endoscopic lumbar discectomy + fusion + percutaneous pedicle screw fixation

Preoperative Imaging

Endoscopic Decompression and Fusion

All Screws Planned with Intraoperative 3D Imaging

Accurate Placement of Minimally Invasive Screws

The combination of Perlove Medical’s orthopedic surgical robots and endoscopic technology in lumbar fusion surgeries not only improves surgical accuracy and safety but also shortens patient recovery times, enhances postoperative quality of life, and increases overall surgical efficiency.

Precise Planning and Execution: Utilizing intraoperative 3D imaging provided by Perlove Medical’s C-arm, doctors can plan the optimal puncture path for the endoscope and screw positions on the navigation workstation. The high-precision robotic arm follows the pre-planned path, ensuring surgical accuracy while being more convenient and efficient.

Minimizing Trauma and Bleeding: Robot-assisted minimally invasive surgery is performed through several small incisions, reducing damage to surrounding muscles, blood vessels, and nerves, lowering intraoperative blood loss, and thus shortening recovery time and reducing postoperative complications.

Preserving Spinal Function: Precisely placing pedicle screws with robotic assistance maximizes the preservation of spinal function, avoiding unnecessary structural damage, and maintaining spinal stability and flexibility.

Fatigue Resistance and Stability: Robots are unaffected by fatigue and can continuously perform high-precision operations, which is particularly important for surgical teams performing multiple surgeries in a day. This consistency and reliability enhance surgical efficiency and patient safety.

Reducing Radiation Exposure: In traditional open surgeries, surgeons frequently use X-rays to confirm screw positions. Robotic precision navigation reduces the need for intraoperative imaging, thereby decreasing radiation exposure for both doctors and patients.

Talent Development for a Smart Future

With ongoing advances in medical technology, medical education and talent development must keep pace with the times. The widespread use of advanced equipment like orthopedic surgical robots revolutionizes training models for doctors. Young physicians can quickly master complex surgical techniques with sub-millimeter precision assistance from surgical robots, significantly shortening the learning curve. This innovative training mechanism not only provides valuable practical opportunities for young doctors but also ignites their enthusiasm for emerging medical technologies and innovative thinking.

To further deepen understanding and mastery of innovative technologies, Perlove Medical offers long-term clinical application training courses for robots. Through case sharing, full-process robotic operation demonstrations, and live surgical observations, trainees from various medical institutions can comprehensively grasp the technical points and application skills of robot-assisted surgeries. Perlove Medical cultivates forward-thinking and innovative medical talents through methods such as “hospital research training + specialized training programs.”

Perlove Medical looks forward to collaborating with major medical institutions to advance the application of innovative technologies and jointly foster talent development, bringing the benefits of technological innovations to more patients and providing health and hope through smart healthcare advancements.


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