Hanyang Med Rev.  2016 Nov;36(4):211-214. 10.7599/hmr.2016.36.4.211.

Roles of Stereotactic Surgical Robot Systems in Neurosurgery

• Kim YS

• KMID: 2361194
• DOI: http://doi.org/10.7599/hmr.2016.36.4.211

Abstract

An important trend of surgical procedure is minimally invasive surgery (MIS). Neurosurgery is an important part of the surgical field that may lead in trends. The MIS provides surgeons use of a variety of techniques to operate with less injury to the body than with open surgery. In general, it is safer than open surgery and allows patients to recover faster and heal with less pain and scarring. There are various techniques and medical devices for improving the MIS. Recently, robotic surgery was introduced to MIS. Advanced robotic systems give doctors greater control and vision during surgery, allowing them to perform safe, less invasive, and precise surgical procedures. On the one hand, several robotic systems have been developed for use in neurosurgery. Some of those neurosurgical robots have been commercialized and used in clinical practice while others have not been used because of safety and ethical issues. This paper provides a brief review on robotic systems for neurosurgery, primarily focusing on commercially available systems.

Keyword

Stereotactic Surgery; Surgical Robot System; Radiosurgery

MeSH Terms

Cicatrix
Ethics
Hand
Humans
Minimally Invasive Surgical Procedures
Neurosurgery*
Radiosurgery
Surgeons

Reference

1. Maryam R, Gregory JA, Mocco J. Early history of the stereotactic apparatus in neurosurgery. Neurosurg Focus. 2009; 27:E12.

2. Kondziolka D, Lunsford LD, Leksell D. Stereotactic frame systems: The Leksell stereotactic system. In : Alexander E, Maciunas RJ, editors. Advanced Neurosurgical Navigation. New York: Thieme Medical Publishers;1999. p. 233–241.

3. Dorward NL, Thomas DGT. Stereotactic frame systems: The Brown-Roberts-Wells and Cosman-Roberts-Wells systems. In : Alexander E, Maciunas RJ, editors. Advanced Neurosurgical Navigation. New York: Thieme Medical Publishers;1999. p. 243–253.

4. Zamorano L. The Zamorano-Dujovny multipurpose localizing unit. In : Alexander E, Maciunas RJ, editors. Advanced Neurosurgical Navigation. New York: Thieme Medical Publishers;1999. p. 255–266.

5. Najarian S, Fallahnezhad M, Afshari E. Advances in medical robotic systems with specific applications in surgery – a review. J Med Eng Technol. 2011; 35:26–37.

6. Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng. 1988; 35:153–160.

7. Renishaw plc. Neuromate stereotactic robot [Internet]. Available from: http://www.renishaw.com/en/neuromate-stereotactic-robot--10712.

8. Sam Eljamel M. Robotic Applications in Neurosurgery. In : Bozovic V, editor. Medical Robotics. InTech;2008. p. 41–64.

9. Li QH, Zamorano L, Pandya A, Perez R, Gong J, Diaz F. The application accuracy of the NeuroMate robot – a quantitative comparison with frameless and frame-based surgical localization systems. Computer Aided Surgery. 2002; 7:90–98.

10. Kajita Y, Nakatsubo D, Kataoka H, Nagai T, Nakura T, Wakabayashi T. Installation of a Neuromate Robot for Stereotactic Surgery: Efforts to Conform to Japanese Specifications and an Approach for Clinical Use – Technical Notes. Neurol Med Chir. 2015; 55:907–914.

11. Medtech. ROSA [Internet]. Available from: http://www.medtech.fr/en.

12. Medtech. Medtech fiscal 2016 revenue increases 73% to €11.2 million [Internet]. Medtech News;cited 2016 July 19. Available from: http://www.medtech.fr/en/news/medtech-fiscal-2016-revenue-increases-73-eu112-million/.

13. Mazor Robotics Ltd. How Renaissance Works [Internet]. Available from: http://www.mazorrobotics.com/surgeons/how-it-works.

14. Joskowicz L, Shamir R, Israel Z, Shoshan Y, Shoham M. Renaissance robotic system for keyhole cranial neurosurgery: in-vivo accuracy study. In : Proceedings of the Simposio Mexicano en Ciruga Asistida por Computadora y Procesamiento de Imgenes Mdicas (MexCAS '11); 2011.

15. Devito DP, Kaplan L, Dietl R, Pfeiffer M, Horne D, Silberstein B, et al. Clinical acceptance and accuracy assessment of spinal implants guided with SpineAssist surgical robot: retrospective study. Spine. 2010; 35:2109–2115.

16. Leksell L. Stereotactic radiosurgery. J Neurol Neurosurg Psychiatry. 1983; 46:797–803.

17. Accuray Inc. CyberKnife M6 Series [Internet]. Available from: http://www.accuray.com/solutions/treatment-delivery/cyberknife-treatment-delivery/m6-series.

18. Gagnon GJ, Nasr NM, Liao JJ, Molzahn I, Marsh D, McRae D, et al. Treatment of spinal tumors using CyberKnife fractionated stereotactic radiosurgery: pain and quality-of-life assessment after treatment in 200 patients. Neurosurgery. 2009; 64:297–306.

19. Inoue M, Sato K, Koike I. An Analysis of the Accuracy of the 6D Tracking With CyberKnife. Int J Radiat Oncol Biol Phys. 2006; 66:Suppl. S611.

20. Schweikard A, Shiomi H, Adler J. Respiration tracking in radiosurgery. Med Phys. 2004; 31:2738–2741.

21. Varian. TrueBeam Radiotherapy System [Internet]. Available from: https://www.varian.com/oncology/products/treatment-delivery/truebeam-radiotherapy-system.

22. Wurm RE, Erbel S, Schwenkert I, Gum F, Aqaoglu D, Schild R, et al. Novalis frameless image-guided noninvasive radiosurgery: initial experience. Neurosurgery. 2008; 62:A11–A17.

23. Abacioglu MU. Advances in Technology in Radiation Oncology. Eur Assoc Neurooncol Mag. 2012; 2:11–14.