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Table of Contents
Vol. 86, No. 1, 2008
Issue release date: December 2007

Application of a Robotic Telemanipulation System in Stereotactic Surgery

Tian Z. · Lu W. · Wang T. · Ma B. · Zhao Q. · Zhang G.
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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.



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References

  1. Ballantyne GH: Robotic surgery, telerobotic surgery, telepresence, and telementoring: review of early clinical results. Surg Endosc 2002;16:1389–1402.
  2. Marescaux J, Rubino F: Telesurgery, telementoring, virtual surgery, and telerobotics. Curr Urol Rep 2003;4:109–113.
  3. Marescaux J, Mutter D, Soler L, Vix M, Leroy J: The Virtual University applied to telesurgery: from tele-education to tele-manipulation. Bull Acad Natl Med 1999;183:509–521.
  4. Wysocki WM, Moesta KT, Schlag PM: Surgery, surgical education and surgical diagnostic procedures in the digital era. Med Sci Monit 2003;9:RA69–RA75.
  5. Mendez I, Hill R, Clarke D, Kolyvas G: Robotic long-distance telementoring in neurosurgery. Neurosurgery 2005;56:434–440.
  6. Spivak CJ, Pirouzmand F: Comparison of the reliability of brain lesion localization when using traditional and stereotactic image-guided techniques: a prospective study. J Neurosurg 2005;103:424–427.
  7. Treuer H, Klein D, Maarouf M, Lehrke R, Voges J, Sturm V: Accuracy and conformity of stereotactically guided interstitial brain tumour therapy using I-125 seeds. Radiother Oncol 2005;77:202–209.
  8. Woodworth GF, McGirt MJ, Samdani A, Garonzik I, Olivi A, Weingart JD: Frameless image-guided stereotactic brain biopsy procedure: diagnostic yield, surgical morbidity, and comparison with the frame-based technique. J Neurosurg 2006;104:233–237.
  9. Yu X, Liu Z, Tian Z, Li S, Huang H, Xiu B, Zhao Q: Stereotactic biopsy for intracranial space-occupying lesions: clinical analysis of 550 cases. Stereotact Funct Neurosurg 2000;75:103–108.
  10. Tian Z, Wang T, Liu Z, Zhao Q, Du J, Liu D: Robot-assisted system in stereotactic neurosurgery (in Chinese). Acad J PLA Postgrad Med School 1998;19:4–6.
  11. Tian Z, Zhao Q, Wang T, Du J, Liu D, Lu H: Use of robot in frameless stereotactic neurosurgery (in Chinese). Chin J Minim Invas Neurosurg 2000;5:129–130.
  12. McClure RS, Kiaii B, Novick RJ, Rayman R, Swinamer S, Kodera K, Menkis AH: Computer-enhanced telemanipulation in mitral valve repair: preliminary experience in Canada with the da Vinci robotic system. Can J Surg 2006;49:193–196.
  13. Nakadi IE, Mélot C, Closset J, DeMoor V, Bétroune K, Feron P, Lingier P, Gelin M: Evaluation of da Vinci Nissen fundoplication clinical results and cost minimization. World J Surg 2006;30:1050–1054.
  14. Benabid AL, Lavalle S, Hoffmann D, Cinquin P, Demongeot J, Danel F: Potential use of robots in endoscopic neurosurgery. Acta Neurochir Suppl 1992;54:93–97.
  15. Young RF: Application of robotics to stereotactic neurosurgery. Neurol Res 1987;9:123–128.
  16. Goto T, Hongo K, Kakizawa Y, Muraoka H, Miyairi Y, Tanaka Y, Kobayashi S: Clinical application of robotic telemanipulation system in neurosurgery. J Neurosurg 2003;99:1082–1084.
  17. Hongo K, Kobayashi S, Kakizawa Y, Koyama J, Goto T, Okudera H, Kan K, Fugie MG, Iseki H, Takakura K: NeuRobot: Telecontrolled micromanipulator system for minimally invasive microneurosurgery: preliminary results. Neurosurgery 2002;51:985– 988.
  18. Ruurda JP, Hanlo PW, Hennipman A, Broeders IA: Robot-assisted thoracoscopic resection of a benign mediastinal neurogenic tumor: technical note. Neurosurgery 2003;52:462–464.
  19. Nathoo N, Cavusoglu MC, Vogelbaum MA, Barnett GH: In touch with robotics: neurosurgery for the future. Neurosurgery 2005;56:421–433.
  20. Marescaux J, Leroy J, Gagner M, et al: Transatlantic robot-assisted telesurgery. Nature 2001;413:379–380.


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