Robotics in Neurosurgery: Evolution, Current Challenges, and Compromises

Cancer Control : Journal of the Moffitt Cancer Center
James J DoulgerisFrank D Vrionis

Abstract

Advances in technology have pushed the boundaries of neurosurgery. Surgeons play a major role in the neurosurgical field, but robotic systems challenge the current status quo. Robotic-assisted surgery has revolutionized several surgical fields, yet robotic-assisted neurosurgery is limited by available technology. The literature on the current robotic systems in neurosurgery and the challenges and compromises of robotic design are reviewed and discussed. Several robotic systems are currently in use, but the application of these systems is limited in the field of neurosurgery. Most robotic systems are suited to assist in stereotactic procedures. Current research and development teams focus on robotic-assisted microsurgery and minimally invasive surgery. The tasks of miniaturizing the current tools and maximizing control challenge manufacturers and hinder progress. Furthermore, loss of haptic feedback, proprioception, and visualization increase the time it takes for users to master robotic systems. Robotic-assisted surgery is a promising field in neurosurgery, but improvements and breakthroughs in minimally invasive and endoscopic robotic-assisted surgical systems must occur before robotic assistance becomes commonplace in the neu...Continue Reading

References

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Citations

Aug 16, 2016·Biomedical Engineering Online·Sotiris AvgoustiPierre Vieyres
Jul 12, 2017·International Journal of Computer Assisted Radiology and Surgery·Hiroyuki ChinbeMitsutoshi Nakada
Dec 1, 2020·Neurosurgical Review·Vittorio StumpoLuca Regli
Aug 7, 2021·British Journal of Neurosurgery·Rami ElsabehJohn M Abrahams

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