Feasibility and Accuracy of Robot-Assisted, Stereotactic Biopsy Using 3-Dimensional Intraoperative Imaging and Frameless Registration Tool

Deboeuf, Louise; Moiraghi, Alessandro; Debacker, Clément; Peeters, Sophie; Simboli, Giorgia Antonia; Roux, Alexandre; Dezamis, Edouard; Oppenheim, Catherine; Chrétien, Fabrice; Pallud, Johan; Zanello, Marc

doi:10.1227/neu.0000000000002294

Cited by 8 publications

(2 citation statements)

References 29 publications

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“… 8 An additional study of a robot-assisted stereotactic biopsy system identified postoperative hematomas larger than 10 mm in 8% of patients slightly higher than our 6.5%. 16 …”

Section: Discussionmentioning

confidence: 99%

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Clinical experiences and learning curves from robot-assisted neurosurgical biopsies with Stealth Autoguide™

Ljungqvist,

Barchéus,

Abbas

et al. 2024

Neuro-Oncology Advances

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Background Biopsies of intracranial lesions is a cornerstone in the diagnosis of unresectable tumors to guide neurooncological treatment; however, the procedure is also associated with risks. The results from the cranial robot guidance system Stealth Autoguide™ were studied after introduction at a neurosurgical department. Primary aims include the presentation of clinical and radiological data, accuracy of radiological diagnosis, learning curves of the new technology, diagnostic yield, and precision. The secondary aim was to study complications. Methods Retrospective data inclusion was performed on patients ≥18 years undergoing biopsy with Stealth Autoguide™ due to suspected brain tumor in the first three years after introduction of the technique. Data regarding clinical characteristics, intraoperative variables, pathological diagnosis, and complications were recorded. Analyses of learning curves were performed. Results A total of 79 procedures were performed on 78 patients with a mean age of 62 years (SD 12.7, range 23-82), 30.8% were female. Tumors were often multifocal (63.3%) and supratentorial (89.9%). The diagnostic yield was 87.3%. The first-hand radiological diagnosis was correct in 62.0%. A slight decrease in operation time was observed, although not significant. The surgeon contributed to 12% of the variability. Conclusion Robot-assisted biopsies with Stealth Autoguide™ seem to be comparable, with regards to complications, to frame-based and other frame-less neurosurgical biopsies. Learning curves demonstrated no statistical differences in time of surgery and only 12% surgeon related variation (i.e. variation caused by change of performing surgeon), suggesting a successful implementation of this technical adjunct.

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“… 8 An additional study of a robot-assisted stereotactic biopsy system identified postoperative hematomas larger than 10 mm in 8% of patients slightly higher than our 6.5%. 16 …”

Section: Discussionmentioning

confidence: 99%

“… 4 , 15 Postoperative complications from robot-assisted frameless biopsies have been reported to a lesser extent. 6 , 8 , 16 …”

mentioning

confidence: 99%

Clinical experiences and learning curves from robot-assisted neurosurgical biopsies with Stealth Autoguide™

Ljungqvist,

Barchéus,

Abbas

et al. 2024

Neuro-Oncology Advances

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Robot-assisted endoscopic third ventriculostomy under intraoperative CT imaging guidance

et al. 2023

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Background The robot-assisted neurosurgical procedures have recently benefited of the evolution of intraoperative imaging, including mobile CT unit available in the operating room. This facilitated use paved the way to perform more neurosurgical procedures under robotic assistance. Endoscopic third ventriculocisternostomy requires both a safe transcortical trajectory and a smooth manipulation. Method We describe our technique of robot-assisted endoscopic third ventriculocisternostomy combining robotic assistance and intraoperative CT imaging. Conclusion Robot-assisted endoscopic third ventriculocisternostomy using modern intraoperative neuroimaging can be easily implemented and prevented erroneous trajectory and abrupt endoscopic movements, reducing surgically induced brain damages.

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Safety and efficacy of frameless stereotactic robot-assisted intraparenchymal brain lesion biopsies versus image-guided biopsies: a bicentric comparative study

Leclerc,

Deboeuf,

Elia

et al. 2024

Acta Neurochir

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Feasibility and Accuracy of Robot-Assisted, Stereotactic Biopsy Using 3-Dimensional Intraoperative Imaging and Frameless Registration Tool

Cited by 8 publications

References 29 publications

Clinical experiences and learning curves from robot-assisted neurosurgical biopsies with Stealth Autoguide™

Clinical experiences and learning curves from robot-assisted neurosurgical biopsies with Stealth Autoguide™

Robot-assisted endoscopic third ventriculostomy under intraoperative CT imaging guidance

Safety and efficacy of frameless stereotactic robot-assisted intraparenchymal brain lesion biopsies versus image-guided biopsies: a bicentric comparative study

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