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Cranial neurosurgical robotics.

Rami Elsabeh1, Sukhbir Singh1, Jeff Shasho2

  • 1Brain and Spine Surgeons of New York, White Plains, NY, USA.

British Journal of Neurosurgery
|August 6, 2021
PubMed
Summary
This summary is machine-generated.

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Robotics in cranial neurosurgery face significant hurdles. Limited clinical utility, high costs, and technological challenges hinder progress, despite some robotic systems being active.

Area of Science:

  • Neurosurgery
  • Robotics Engineering
  • Medical Technology

Background:

  • Robotic surgery has advanced significantly in various surgical fields.
  • Cranial neurosurgery has seen limited adoption of robotic technologies compared to other specialties.
  • Understanding the barriers to robotic integration is crucial for future development.

Purpose of the Study:

  • To identify and analyze the key factors impeding the advancement of robotics in cranial neurosurgery.
  • To provide insights into the current landscape and challenges of robotic applications in this specialized field.

Main Methods:

  • A comprehensive literature search was conducted on neurosurgical robotic technologies.
  • Reviewed published reports on robotic systems used in cranial neurosurgery.
Keywords:
Image-guided interventioncranial robotcranial roboticsminimally invasive surgeryrobotic surgery

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  • Assessed technologies based on strengths, weaknesses, patient use, and project status (active/closed).

    • Main Results:

    • 24 robots developed since 1985, with only 9 used in patients and 2 currently active (ROSA, NeuroArm).
    • Limited clinical utility, high costs, and technology adoption challenges were identified as major limitations.
    • Stereotactic procedures represent the most common application for developed cranial neurosurgical robots.

    Conclusions:

    • A significant gap exists in cranial neurosurgery robotics despite successes in other surgical areas.
    • High costs, technological limitations, market size, and regulatory hurdles present substantial challenges for robotic adoption.
    • Overcoming these barriers is essential to foster innovation and successful implementation of robotics in cranial neurosurgery.