Endoscopic Robotic Decompression of the Ulnar Nerve

The use of robotic surgery has expanded in several surgical specialties and has advantages over the traditional surgical methods. Within orthopedics, robotic surgery has been used in brachial plexus and neurologic releases. The association of the robotic technology and endoscopy has further expanded indications and procedures can now be performed with shorter time of hospitalization and minimally invasive approach. Advantages of this method include: (a) movement accuracy, (b) high resolution imaging with three-dimensional vision, (c) gas infusion rather than saline solution permits better visualization and less bleeding, (d) filtering of the surgeon’s tremor when manipulating objects, (e) movement scaling, and (f) hand-free camera manipulation. In addition, in future there is the possibility of remotely performing the surgery (telesurgery) and even supervised autonomous procedures based on artificial intelligence.