TY - JOUR
T1 - Robotics in neurosurgery
T2 - Current prevalence and future directions
AU - Singh, Rohin
AU - Wang, Kendra
AU - Qureshi, Muhammad Bilal
AU - Rangel, India C.
AU - Brown, Nolan J.
AU - Shahrestani, Shane
AU - Gottfried, Oren N.
AU - Patel, Naresh P.
AU - Bydon, Mohamad
N1 - Funding Information:
Of the 13 clinical trial studies, spinal fixation surgeries were the most common intervention. One out of the six spinal fixation surgery studies was hospital sponsored (the “EUROSPIN” study) and four were sponsored by Mazor Robotics. Studies that involved DBS and vertebral body augmentation intervention were all hospital sponsored. e study, “First Clinical Evaluation of HEARO Robotic Cochlear Implantation Surgery in Austria,” was also hospital sponsored by the Medical University of Vienna. e rest of the studies for cochlear implantation, laser ablation, and endovascular embolization interventions were industry sponsored [Table 3].
Publisher Copyright:
©2022 Published by Scientific Scholar on behalf of Surgical Neurology International.
PY - 2022
Y1 - 2022
N2 - Background: The first instance of a robotic-assisted surgery occurred in neurosurgery; however, it is now more common in other fields such as urology and gynecology. This study aims to characterize the prevalence of robotic surgery among current neurosurgery programs as well as identify trends in clinical trials pertaining to robotic neurosurgery. Methods: Each institution’s website was analyzed for the mention of a robotic neurosurgery program and procedures. The future potential of robotics in neurosurgery was assessed by searching for current clinical trials pertaining to neurosurgical robotic surgery. Results: Of the top 100 programs, 30 offer robotic cranial and 40 offer robotic spinal surgery. No significant differences were observed with robotic surgical offerings between geographic regions in the US. Larger programs (faculty size 16 or over) had 20 of the 30 robotic cranial programs (66.6%), whereas 21 of the 40 robotic spinal programs (52.5%) were at larger programs. An initial search of clinical trials revealed 223 studies, of which only 13 pertained to robotic neurosurgery. Spinal fixation was the most common intervention (six studies), followed by Deep Brain Stimulation (DBS, two studies), Cochlear implants (two studies), laser ablation (LITT, one study), and endovascular embolization (one study). Most studies had industry sponsors (9/13 studies), while only five studies had hospital sponsors. Conclusion: Robotic neurosurgery is still in its infancy with less than half of the top programs offering robotic procedures. Future directions for robotics in neurosurgery appear to be focused on increased automation of stereotactic procedures such as DBS and LITT and robot-assisted spinal surgery.
AB - Background: The first instance of a robotic-assisted surgery occurred in neurosurgery; however, it is now more common in other fields such as urology and gynecology. This study aims to characterize the prevalence of robotic surgery among current neurosurgery programs as well as identify trends in clinical trials pertaining to robotic neurosurgery. Methods: Each institution’s website was analyzed for the mention of a robotic neurosurgery program and procedures. The future potential of robotics in neurosurgery was assessed by searching for current clinical trials pertaining to neurosurgical robotic surgery. Results: Of the top 100 programs, 30 offer robotic cranial and 40 offer robotic spinal surgery. No significant differences were observed with robotic surgical offerings between geographic regions in the US. Larger programs (faculty size 16 or over) had 20 of the 30 robotic cranial programs (66.6%), whereas 21 of the 40 robotic spinal programs (52.5%) were at larger programs. An initial search of clinical trials revealed 223 studies, of which only 13 pertained to robotic neurosurgery. Spinal fixation was the most common intervention (six studies), followed by Deep Brain Stimulation (DBS, two studies), Cochlear implants (two studies), laser ablation (LITT, one study), and endovascular embolization (one study). Most studies had industry sponsors (9/13 studies), while only five studies had hospital sponsors. Conclusion: Robotic neurosurgery is still in its infancy with less than half of the top programs offering robotic procedures. Future directions for robotics in neurosurgery appear to be focused on increased automation of stereotactic procedures such as DBS and LITT and robot-assisted spinal surgery.
KW - Robotic assisted
KW - Robotic cranial
KW - Robotic neurosurgery
KW - Robotic spinal
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U2 - 10.25259/SNI_522_2022
DO - 10.25259/SNI_522_2022
M3 - Review article
AN - SCOPUS:85140416979
SN - 2152-7806
VL - 13
JO - Surgical Neurology International
JF - Surgical Neurology International
M1 - 373
ER -