Robotics Helps Usher in a New Era of Neurosurgery

ZHANG Jian-ning, LIU Jia-lin

Abstract

The application of surgical robots in neurosurgery has formed a rapidly developing and fascinating new field that is revolutionizing the way neurosurgeries are performed. Herein, we discussed the prospects of the future development of neurosurgery robots. We found that, at present, surgical robots are most widely used in stereotactic surgeries in the field of neurosurgery. The use of surgical robots has greatly improved puncturing precision, but it cannot be used in other types of neurosurgeries.With the highly integrated development of imaging technology, mechanical technology, computer control technology, and artificial intelligence, surgical robotics will inevitably witness a surge of rapid development in line with the trend of contemporary needs. Surgical robotics will be applied to more fields of neurosurgery in the future, enhancing surgical safety and efficiency.

 

Keywords: Surgical robotics, Neurosurgery, Remote control, Artificial intelligence

 

Full Text:

PDF


References


KWOH Y S, HOU J, JONCKHEERE E A, et al. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng,1988,35(2): 153–160.

LI Q H, ZAMORANO L, PANDYA A, et al. The application accuracy of the NeuroMate robot--A quantitative comparison with frameless and frame-based surgical localization systems. Comput Aided Surg,2002, 7(2): 90–98.

FARIA C, ERLHAGEN W, RITO M, et al. Review of robotic technology for stereotactic neurosurgery. IEEE Rev Biomed Eng, 2015, 8: 125−137 [2022-03-14]. https://doi.org/10.1109/RBME.2015.2428305.

DORFER C, MINCHEV G, CZECH T, et al. A novel miniature robotic device for frameless implantation of depth electrodes in refractory epilepsy. J Neurosurg,2017,126(5): 1622–1628.

SUTHERLAND G R, LATOUR I, GREER A D. Integrating an image-guided robot with intraoperative MRI: A review of the design and construction of neuroArm. IEEE Eng Med Biol Mag,2008,27(3): 59–65.

CSÓKAY A, VALÁLIK I, JOBBÁGY A. Early experiences with a novel (robot hand) technique in the course ofmicroneurosurgery. Surg Neurol, 2009,71(4): 469–472.

SWANEY P J, GILBERT H B, WEBSTER R J 3rd, et al. Endonasal skull base tumor removal using concentric tube continuum robots: A phantom study. J Neurol Surg B Skull Base,2015,76(2): 145–149.

DOULGERIS J J, GONZALEZ-BLOHM S A, FILIS A K, et al. Robotics in neurosurgery: Evolution, current challenges, and compromises. Cancer Control,2015,22(3): 352–359.

LOZANO A M, LIPSMAN N, BERGMAN H, et al. Deep brain stimulation: Current challenges and future directions. Nat Rev Neurol, 2019,15(3): 148–160.

KRAMER D R, HALPERN C H, CONNOLLY P J, et al. Error reduction with routine checklist use during deep brain stimulation surgery. Stereotact Funct Neurosurg,2012,90(4): 255–259.

FURLANETTI L, ELLENBOGEN J, GIMENO H, et al. Targeting accuracy of robot-assisted deep brain stimulation surgery in childhood-onset dystonia: A single-center prospective cohort analysis of 45 consecutive cases. J Neurosurg Pediatr,2021,27(6): 677–687.

VON LANGSDORFF D, PAQUIS P, FONTAINE D. In vivo measurement of the frame-based application accuracy of the Neuromate neurosurgical robot. J Neurosurg,2015,122(1): 191–194.

CHANDRA P S, KURWALE N, GARG A, et al. Endoscopy-assisted interhemispheric transcallosal hemispherotomy: Preliminary description of a novel technique. Neurosurgery,2015,76(4): 485–494.

SOOD S, MARUPUDI N I, ASANO E, et al. Endoscopic corpus callosotomy and hemispherotomy. J Neurosurg Pediatr,2015,16(6): 681–686.

CHUMNANVEJ S, PILLAI B M, CHALONGWONGSE S, et al. Endonasal endoscopic transsphenoidal approach robot prototype: A cadaveric trial. Asian J Surg,2021,44(1): 345–351.

CHALONGWONGSE S, CHUMNANVEJ S, SUTHAKORN J. Analysis of endonasal endoscopic transsphenoidal (EET) surgery pathway and workspace for path guiding robot design. Asian J Surg,2019,42(8): 814–822.

MENDES PEREIRA V, CANCELLIERE N M, NICHOLSON P, et al. First-in-human, robotic-assisted neuroendovascular intervention. J Neurointerv Surg,2020,12(4): 338–340.

SAJJA K C, SWEID A, AL SAIEGH F, et al. Endovascular robotic: Feasibility and proof of principle for diagnostic cerebral angiography and carotid artery stenting. J Neurointerv Surg,2020,12(4): 345–349.

KANE G, EGGERS G, BOESECKE R, et al. System design of a hand-held mobile robot for craniotomy. Med Image Comput Comput Assist Interv,2009,12(Pt 1): 402–409.

BAST P, POPOVIC A, WU T, et al. Robot- and computer-assisted craniotomy: Resection planning, implant modelling and robot safety. Int J Med Robot,2006,2(2): 168–178.

ENGELHARDT M, BAST P, JEBLINK N, et al. Analysis of surgical management of calvarialtumours and first results of a newly designed robotic trepanation system. Minim Invasive Neurosurg,2006,49(2): 98–103.

HONG W C, TSAI J C, CHANG S D, et al. Robotic skull base surgery via supraorbital keyhole approach: A cadaveric study. Neurosurgery, 2013,72(Suppl 1): 33–38.

DALLAN I, CASTELNUOVO P, SECCIA V, et al. Combined transnasal transcervical robotic dissection of posterior skull base: Feasibility in a cadaveric model. Rhinology,2012,50(2): 165–170.

BLANCO R G, BOAHENE K. Robotic-assisted skull base surgery: Preclinical study. J Laparoendosc Adv Surg Tech A,2013,23(9): 776–782.

DIMITRAKAKIS E, AYLMORE H, LINDENROTH L, et al. Robotic handle prototypes for endoscopic endonasal skull base surgery: Pre-clinical randomised controlled trial of performance and ergonomics. Ann Biomed Eng,2022,50(5): 549–563.

CHAUVET D, MISSISTRANO A, HIVELIN M, et al. Transoral robotic-assisted skull base surgery to approach the sella turcica: Cadaveric study. Neurosurg Rev,2014,37(4): 609–617.

FERNANDEZ-NOGUERAS F J, KATATI M J, ARRAEZ SANCHEZ M A, et al. Transoral robotic surgery of the central skull base: Preclinical investigations. Eur Arch Otorhinolaryngol,2014,271(6): 1759–1763.

CARRAU R L, PREVEDELLO D M, DE LARA D, et al. Combined transoral robotic surgery and endoscopic endonasal approach for the resection of extensive malignancies of the skull base. Head Neck,2013, 35(11): E351–E358.

CHAUVET D, HANS S, MISSISTRANO A, et al. Transoral robotic surgery for sellar tumors: First clinical study. J Neurosurg,2017,127(4): 941–948.


Refbacks

  • There are currently no refbacks.