Robot-assisted endoscopic third ventriculostomy under intraoperative CT imaging guidance

Area of Science:

• Neurosurgery
• Medical Robotics
• Medical Imaging

Background:

• Advancements in intraoperative imaging, such as mobile CT scanners, have expanded the application of robot-assisted neurosurgical procedures.
• Robot-assisted surgery offers enhanced precision for complex procedures like endoscopic third ventriculocisternostomy.
• Endoscopic third ventriculocisternostomy demands a secure transcortical path and delicate instrument handling.

Purpose of the Study:

• To present a novel technique for robot-assisted endoscopic third ventriculocisternostomy.
• To highlight the integration of robotic assistance with intraoperative CT imaging in neurosurgery.

Main Methods:

• The study details a technique combining robotic surgical systems with real-time intraoperative CT imaging.
• This approach facilitates precise navigation and instrument control during the neurosurgical procedure.

Main Results:

• The described technique allows for easy implementation in clinical practice.
• It effectively prevents deviations in trajectory and uncontrolled endoscopic movements.
• The method contributes to reducing iatrogenic brain damage during the procedure.

Conclusions:

• Robot-assisted endoscopic third ventriculocisternostomy, when combined with intraoperative neuroimaging, is a readily implementable and safe surgical option.
• This integrated approach enhances procedural accuracy and patient safety by minimizing surgical trauma.