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Robotics in neurosurgery: Current prevalence and future directions
Rohin Singh1, Kendra Wang2, Muhammad Bilal Qureshi1
1Alix School of Medicine, Mayo Clinic, Scottsdale.
Surgical Neurology International
|September 21, 2022
Summary
Robotic neurosurgery is emerging, with under half of top programs offering procedures. Future research focuses on automating stereotactic surgeries and robot-assisted spinal procedures.
Area of Science:
- Neurosurgery
- Medical Robotics
- Surgical Technology
Background:
- Robotic-assisted surgery, initially in neurosurgery, is now prevalent in urology and gynecology.
- This study investigates the current adoption and future trends of robotic surgery within neurosurgery programs and clinical trials.
Purpose of the Study:
- To characterize the prevalence of robotic surgery in neurosurgery programs.
- To identify trends in clinical trials for robotic neurosurgery.
Main Methods:
- Analysis of institutional websites for robotic neurosurgery programs and procedures.
- Search for current clinical trials related to robotic neurosurgery.
Main Results:
- 30% of top programs offer robotic cranial surgery; 40% offer robotic spinal surgery.
- Larger programs are more likely to offer robotic procedures.
- Only 13 out of 223 clinical trials focused on robotic neurosurgery, with spinal fixation, Deep Brain Stimulation (DBS), and Cochlear implants being common interventions.
Conclusions:
- Robotic neurosurgery is in its early stages, with less than 50% of leading programs utilizing robotic procedures.
- Future advancements are expected in automating stereotactic procedures like DBS and Laser Interstitial Thermal Therapy (LITT), alongside robot-assisted spinal surgery.

