Surgical Robotics for Intracerebral Hemorrhage Treatment: State of the Art and Future Directions

Abstract

Intracerebral hemorrhage (ICH) is a stroke subtype with high mortality and disability, and there are no proven medical treatments that can improve the functional outcome of ICH patients. Robot-assisted neurosurgery is a significant advancement in the development of minimally invasive surgery for ICH. This review encompasses the latest advances and future directions of surgical robots for ICH. First, three robotic systems for neurosurgery applied to ICH are illustrated. Second, the key technologies of robot-assisted surgery for ICH are introduced in aspects of stereotactic technique and navigation, the puncture instrument, and hematoma evacuation. Finally, the limitations of current surgical robots are summarized, and the possible development direction is discussed, which is named “multisensor fusion and intelligent aspiration control of minimally invasive surgical robot for ICH”. It is expected that the new generation of surgical robots for ICH will facilitate quantitative, precise, individualized, standardized treatment strategies for ICH.

Puncture and Drainage Surgery for Intracerebral Hemorrhage Guided by 3D Printing Puncture Guide Plate

“…However, these devices tend to be expensive, leading to their concentration in large hospitals and inaccessibility to most grassroots hospitals. 14,15 Due to problems in puncture accuracy, convenience, and application cost, the aforementioned localization methods are increasingly unable to meet the requirements of puncture and drainage surgery for intracerebral hemorrhage in grassroots hospitals. Therefore, there is an urgent need for a highprecision, easy-to-use, and cost-effective intracerebral hematoma localization method for grassroots hospitals.…”