Abstract
Functional neurosurgery requires high levels of accuracy for stereotactic placement of leads to an intracranial target. The adoption of robotic-assisted neurosurgery in functional neurosurgery has reduced error and improved overall accuracy of lead placement. As centers develop experience with robotics, new workflows are developed to ensure efficiency in the operating room. This chapter discusses the relevant history and studies regarding the development of this technique and seeks to explain nuances of robotic registration, surgical workflow, and address some pitfalls for neurosurgeons looking to adopt robotics in their own functional practices.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Vazhayil V, et al. An overview of robotics in functional neurosurgery. Indian J Neurosurg. 2019;08:006–10.
Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE T Bio-med Eng. 1988;35:153–60.
Faria C, et al. Review of robotic technology for stereotactic neurosurgery. IEEE Rev Biomed Eng. 2015;8:125–37.
Faraji AH, Kokkinos V, Sweat JC, Crammond DJ, Richardson RM. Robotic-assisted stereotaxy for deep brain stimulation lead implantation in awake patients. Oper Neurosurg. 2020;19:444–52.
Fenoy AJ, Simpson RK. Risks of common complications in deep brain stimulation surgery: management and avoidance: clinical article. J Neurosurg. 2014;120:132–9.
Jitkritsadakul O, et al. Systematic review of hardware-related complications of deep brain stimulation: do new indications pose an increased risk? Brain Stimul. 2017;10:967–76.
Neudorfer C, Hunsche S, Hellmich M, Majdoub FE, Maarouf M. Comparative study of robot-assisted versus conventional frame-based deep brain stimulation stereotactic neurosurgery. Stereot Funct Neuros. 2018;96:327–34.
Paff M, et al. Two-year clinical outcomes associated with robotic-assisted subthalamic lead implantation in patients with Parkinson’s disease. J Robotic Surg. 2020;14:559–65.
Liu L, et al. Frameless ROSA® robot-assisted lead implantation for deep brain stimulation: technique and accuracy. Oper Neurosurg. 2019;19:57–64.
Jin H, et al. A comparative study of asleep and awake deep brain stimulation robot-assisted surgery for Parkinson’s disease. Npj Park Dis. 2020;6:27.
Lefranc M, et al. Asleep robot-assisted surgery for the implantation of subthalamic electrodes provides the same clinical improvement and therapeutic window as awake surgery. World Neurosurg. 2017;106:602–8.
510(k) Premarket notification for Mazor renaissance system with brain application. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K120812. Accessed 5 July 2021.
Ho AL, et al. Frameless robot-assisted deep brain stimulation surgery: an initial experience. Oper Neurosurg. 2019;17:424–31.
Varma TRK, et al. Use of the NeuroMate stereotactic robot in a frameless mode for movement disorder surgery. Stereot Funct Neuros. 2004;80:132–5.
Candela S, et al. Frameless robot-assisted pallidal deep brain stimulation surgery in pediatric patients with movement disorders: precision and short-term clinical results. J Neurosurg Pediatrics. 2018;22:416–25.
von Langsdorff D, Paquis P, Fontaine D. In vivo measurement of the frame-based application accuracy of the Neuromate neurosurgical robot. J Neurosurg. 2015;122:191–4.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Austerman, R.J., Rajendran, S., Faraji, A.H. (2022). Robotics in Functional Neurosurgery. In: González Martínez, J.A., Cardinale, F. (eds) Robotics in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-031-08380-8_5
Download citation
DOI: https://doi.org/10.1007/978-3-031-08380-8_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-08379-2
Online ISBN: 978-3-031-08380-8
eBook Packages: MedicineMedicine (R0)