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Where are all the neurosurgery robots?
Dillan Prasad1, Benjamin E Weiss2, Laura A Snyder3
1Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. dillan@northwestern.edu.
Journal of Robotic Surgery
|June 4, 2025
Summary
Autonomous robots have not yet transformed neurosurgery due to economic, regulatory, and cultural barriers. Thoughtful integration can enhance, not replace, the neurosurgeon
Area of Science:
- Neurosurgery
- Robotics
- Artificial Intelligence
Background:
- Despite advances in engineering and AI, autonomous robots have not revolutionized neurosurgery.
- Robotic adoption in neurosurgery faces significant challenges.
Purpose of the Study:
- To examine the reasons behind the slow adoption of neurosurgical robotics.
- To analyze economic, regulatory, liability, and cultural hurdles.
- To advocate for a balanced approach to robotic integration in neurosurgery.
Main Methods:
- Perspective piece drawing on collective experience.
- Analysis of barriers to robotic adoption in neurosurgery.
- Review of current state of neurosurgical robotics.
Main Results:
- Economic, regulatory, liability, and cultural factors impede widespread adoption.
- Neurosurgical robotics currently lag behind advancements in other fields.
- Current robotic applications are limited in scope and impact.
Conclusions:
- Cautious optimism is warranted for the integration of robotics in neurosurgery.
- Robotics should be viewed as tools to augment, not replace, neurosurgeons.
- Thoughtful integration is key to leveraging robotic potential while preserving surgeon expertise.

