Robotic Skull Base Surgery via Supraorbital Keyhole Approach

Hong, Wei-Chen; Tsai, Jui‐Chang; Chang, Steven D.; Sorger, Jonathan M.

doi:10.1227/neu.0b013e318270d9de

Cited by 34 publications

(20 citation statements)

References 30 publications

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“…Although the da Vinci robot has not found wide application in neurosurgery, it has been investigated for use in interbody fusion and skull base surgery. 5,17 Robotic systems such as Spine Assist and Renaissance (Mazor Robotics) have been developed to guide screw placement in spinal neurosurgery. 11,12 Although they are called robotic systems, these are truly cobot systems, which assist the human execution of tasks (e.g., screw placement).…”

Section: 45mentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

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Surgical robots have captured the interest—if not the widespread acceptance—of spinal neurosurgeons. But successful innovation, scientific or commercial, requires the majority to adopt a new practice. “Faster, better, cheaper” products should in theory conquer the market, but often fail. The psychology of change is complex, and the “follow the leader” mentality, common in the field today, lends little trust to the process of disseminating new technology. Beyond product quality, timing has proven to be a key factor in the inception, design, and execution of new technologies. Although the first robotic surgery was performed in 1985, scant progress was seen until the era of minimally invasive surgery. This movement increased neurosurgeons’ dependence on navigation and fluoroscopy, intensifying the drive for enhanced precision. Outside the field of medicine, various technology companies have made great progress in popularizing co-robots (“cobots”), augmented reality, and processor chips. This has helped to ease practicing surgeons into familiarity with and acceptance of these technologies. The adoption among neurosurgeons in training is a “follow the leader” phenomenon, wherein new surgeons tend to adopt the technology used during residency. In neurosurgery today, robots are limited to computers functioning between the surgeon and patient. Their functions are confined to establishing a trajectory for navigation, with task execution solely in the surgeon’s hands. In this review, the authors discuss significant untapped technologies waiting to be used for more meaningful applications. They explore the history and current manifestations of various modern technologies, and project what innovations may lie ahead.

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Section: 45mentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

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“…The potential of robotic techniques and the recent advent of three-dimensional endoscopic technology will further advance the field [74][75][76]. The orbital surgeon should remain vigilant.…”

Section: Resultsmentioning

confidence: 99%

The evolving role of the oculoplastic surgeon in skull base surgery

Allen

2016

Current Opinion in Ophthalmology

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“…“Although the limitations of the cadaver model prevent actual testing of this hypothesis, the current robotic bipolar instrument and newly developed suction/irrigator tool should provide an appropriate solution.”[2]…”

Section: Variation First Not Innovationmentioning

confidence: 99%

“…The idea (in neuroethics) that evolved from the fine innovations[123] on operative neurosurgery journal[3] and stereotactic laser ablation (SLA) for cerebral cavernous malformation[1] is fascinating. That is not flattery because we know flattery dulls intellect.…”

mentioning

confidence: 99%