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Table of Contents
Vol. 86, No. 1, 2008
Issue release date: December 2007
Section title: Technology Report
Stereotact Funct Neurosurg 2008;86:54–61
(DOI:10.1159/000110742)

Application of a Robotic Telemanipulation System in Stereotactic Surgery

Tian Z. · Lu W. · Wang T. · Ma B. · Zhao Q. · Zhang G.
aDepartment of Neurosurgery, Navy General Hospital of PLA, Beijing, bRobotics Institute, Beijing University of Aeronautics and Astronautics, Beijing, and cDepartment of Neurosurgery, Yan’an University Affiliated Hospital, Yan’an, Shanxi Province, PR China

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Article / Publication Details

First-Page Preview
Abstract of Technology Report

Published online: 11/7/2007

Number of Print Pages: 8
Number of Figures: 10
Number of Tables: 1

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: http://www.karger.com/SFN

Abstract

To assess the clinical usefulness, accuracy, and safety of telemanipulation for frameless stereotactic surgery using the CAS-BH5 robot system, we prospectively evaluated 10 patients (age: 5–79 years; mean: 44 years) who underwent telemanipulation frameless stereotactic operations from September to December 2005. The CAS-BH5 robot system consists of three main parts: a planning subsystem, a surgical localization subsystem, and a telemanipulation subsystem. Specifically, CAS-BH5 is capable of network communication, video transmission, graphic simulation and human-machine interaction, and thus facilitates remote planning and transmission of neuronavigation data, monitoring and manipulating. Telemanipulation was performed via a digital data network with a speed of 2,000 kilobytes per second by a neurosurgeon in Beijing while the patients were located in Yan’an, 1,300 km away. Remote fiducial registration was performed with a mean accuracy of 1.05 mm and the standard difference between the planned and actual trajectory was 0.13 mm. The mean time from fiducial registration to closure was 30.2 ± 1.66 min. At 12-month follow-up, 90% of patients had improved neurologically. There were no complications. This preliminary data indicates that telemanipulation in frameless stereotactic surgeries is feasible, reliable and safe. In the future, we believe that telemanipulation will facilitate collaboration between surgeons, enhance training, allow for sharing of resources, and have wide applications in the field of neurosurgery.


Article / Publication Details

First-Page Preview
Abstract of Technology Report

Published online: 11/7/2007

Number of Print Pages: 8
Number of Figures: 10
Number of Tables: 1

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: http://www.karger.com/SFN


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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