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Experience with 102 Frameless Stereotactic Biopsies Using the neuromate Robotic Device
Hamzah Yasin1, Hans-Joachim Hoff1, Ingmar Blümcke2
1Department of Neurosurgery, Bethel Clinic, Bielefeld, Germany.
World Neurosurgery
|December 1, 2018
Summary
Robot-assisted frameless stereotactic biopsy using the neuromate robot is a safe and effective alternative to traditional frame-based methods. This technique achieved a high diagnostic yield with comparable complication rates for neurosurgery patients.
Area of Science:
- Neurosurgery
- Robotic Surgery
- Neuropathology
Background:
- Stereotactic biopsy is a cornerstone of neurosurgical diagnosis.
- Frameless and robotic systems are emerging alternatives to frame-based stereotaxy.
- The neuromate robotic device offers a novel approach to frameless stereotactic biopsy.
Purpose of the Study:
- To evaluate the efficacy and safety of the neuromate robotic system for frameless stereotactic biopsies.
- To analyze histopathologic results, complication rates, and procedure duration.
- To compare robot-assisted biopsies with traditional frame-based stereotaxy.
Main Methods:
- Retrospective analysis of 102 consecutive robot-assisted frameless biopsies using the neuromate device.
- Patients underwent biopsy for deep-seated or small lesions.
- Histopathologic outcomes, complications, and procedure times were recorded.
Main Results:
- A definitive histologic diagnosis was achieved in 92.2% of procedures.
- No infectious complications occurred.
- Biopsy-related hemorrhages (>10 mm) occurred in 12.7% of cases, with persistent neurologic worsening in only 2.9%.
Conclusions:
- Robot-assisted frameless stereotactic biopsies with the neuromate robot are a viable alternative to frame-based stereotaxy.
- The diagnostic yield is similar to traditional methods.
- Complication rates are comparable, demonstrating the safety and efficacy of the robotic approach.
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