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Robot-assisted stereotactic brain biopsy: A systematic review and meta-analysis
Silvio Porto Junior1, Davi Amorim Meira2, Beatriz Lopes Bernardo da Cunha3
1Bahiana School of Medicine and Public Health, Dom João VI Avenue, 275, Brotas, Salvador, Bahia, Brazil. silviojr1212@gmail.com.
Neurosurgical Review
|December 3, 2024
Summary
Robot-assisted stereotactic brain biopsy offers high diagnostic yield and precision. This advanced technique demonstrates reduced operative times and low complication rates, enhancing patient outcomes.
Area of Science:
- Neurosurgery
- Medical Robotics
- Diagnostic Imaging
Background:
- Stereotactic brain biopsy is crucial for diagnosing intracranial lesions.
- Traditional methods face limitations in precision and safety.
- Robot-assisted techniques offer potential improvements.
Purpose of the Study:
- To assess the effectiveness and safety of robot-assisted stereotactic brain biopsies.
- To compare outcomes with traditional methods.
Main Methods:
- Systematic review and meta-analysis following Cochrane and PRISMA guidelines.
- Searched PubMed, Embase, and Web of Science up to July 2024.
- Analyzed data on neurological deficits, hemorrhage, mortality, precision errors, operative time, and length of stay.
Main Results:
- Included 27 studies with 2605 patients.
- High diagnostic yield of 98%.
- Low mean entry point error (1.04 mm) and target point error (1.08 mm).
- Low complication rates: 6% hemorrhage, 4% transient deficits, 0% mortality.
- Mean operative time: 52.45 min; mean hospital stay: 4.64 days.
Conclusions:
- Robot-assisted stereotactic brain biopsy is highly effective and precise.
- The technique shows potential for reduced operative times and shorter hospital stays.
- Low complication rates underscore the safety and benefits of robotic assistance.
