Micromanipulator: effectiveness in minimally invasive neurosurgery

Area of Science:

• Neurosurgery
• Minimally Invasive Surgery
• Medical Devices

Background:

• Microneurosurgery has advanced significantly with tools like endoscopes and navigation.
• Further reducing invasiveness in microneurosurgery is an ongoing goal.

Purpose of the Study:

• To present the use and effectiveness of a manually controlled micromanipulator system.
• To demonstrate how this system further enhances minimally invasive microneurosurgery.

Main Methods:

• A manually controlled micromanipulator system comprising a basic micromanipulator, supporting device, and manual control was utilized.
• The system was employed with a pneumatically driven powered endoscopic holding device and a 2.7 mm MACHIDA rigid endoscope.
• The system was used in thirty endoscopic-assisted cerebrovascular microneurosurgery cases, specifically aneurysm clipping.

Main Results:

• The micromanipulator system demonstrated effectiveness in enhancing minimally invasive procedures.
• It significantly improves manual dexterity by dampening human physiological tremor.
• The system facilitates the practical use of endoscopes in complex neurosurgical operations.

Conclusions:

• The manually controlled micromanipulator system further reduces invasiveness in microneurosurgery.
• This technology leads to more accurate and promising outcomes in neurosurgical interventions.
• The system is a valuable tool for improving precision and safety in minimally invasive neurosurgery.