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da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

Identifieur interne : 000475 ( PubMed/Curation ); précédent : 000474; suivant : 000476

da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

Auteurs : Hani J. Marcus [Royaume-Uni] ; Archie Hughes-Hallett ; Thomas P. Cundy ; Guang-Zhong Yang ; Ara Darzi ; Dipankar Nandi

Source :

Neurosurgical review [ 1437-2320 ] ; 2015.

RBID : pubmed:25516094

English descriptors

KwdEn :
- Cadaver, Craniotomy (instrumentation), Humans, Neurosurgical Procedures (methods), Robotic Surgical Procedures, Robotics (instrumentation), Surgery, Computer-Assisted (methods).
MESH :
- instrumentation : Craniotomy, Robotics.
- methods : Neurosurgical Procedures, Surgery, Computer-Assisted.
- Cadaver, Humans, Robotic Surgical Procedures.

Abstract

The goal of this cadaver study was to evaluate the feasibility and safety of da Vinci robot-assisted keyhole neurosurgery. Several keyhole craniotomies were fashioned including supraorbital subfrontal, retrosigmoid and supracerebellar infratentorial. In each case, a simple durotomy was performed, and the flap was retracted. The da Vinci surgical system was then used to perform arachnoid dissection towards the deep-seated intracranial cisterns. It was not possible to simultaneously pass the 12-mm endoscope and instruments through the keyhole craniotomy in any of the approaches performed, limiting visualization. The articulated instruments provided greater dexterity than existing tools, but the instrument arms could not be placed in parallel through the keyhole craniotomy and, therefore, could not be advanced to the deep cisterns without significant clashing. The da Vinci console offered considerable ergonomic advantages over the existing operating room arrangement, allowing the operating surgeon to remain non-sterile and seated comfortably throughout the procedure. However, the lack of haptic feedback was a notable limitation. In conclusion, while robotic platforms have the potential to greatly enhance the performance of transcranial approaches, there is strong justification for research into next-generation robots, better suited to keyhole neurosurgery.

DOI: 10.1007/s10143-014-0602-2
PubMed: 25516094

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<author><name sortKey="Marcus, Hani J" sort="Marcus, Hani J" uniqKey="Marcus H" first="Hani J" last="Marcus">Hani J. Marcus</name>
<affiliation wicri:level="1"><nlm:affiliation>The Hamlyn Centre for Robotic Surgery, Institute of Global Health Innovation, Imperial College London, Paterson Building (Level 3), Praed Street, London, W2 1NY, UK, hani.marcus10@imperial.ac.uk.</nlm:affiliation>
<country wicri:rule="url">Royaume-Uni</country>
<wicri:regionArea>The Hamlyn Centre for Robotic Surgery, Institute of Global Health Innovation, Imperial College London, Paterson Building (Level 3), Praed Street, London, W2 1NY, UK</wicri:regionArea>
</affiliation>
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<author><name sortKey="Hughes Hallett, Archie" sort="Hughes Hallett, Archie" uniqKey="Hughes Hallett A" first="Archie" last="Hughes-Hallett">Archie Hughes-Hallett</name>
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<author><name sortKey="Cundy, Thomas P" sort="Cundy, Thomas P" uniqKey="Cundy T" first="Thomas P" last="Cundy">Thomas P. Cundy</name>
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<author><name sortKey="Yang, Guang Zhong" sort="Yang, Guang Zhong" uniqKey="Yang G" first="Guang-Zhong" last="Yang">Guang-Zhong Yang</name>
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<author><name sortKey="Darzi, Ara" sort="Darzi, Ara" uniqKey="Darzi A" first="Ara" last="Darzi">Ara Darzi</name>
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<author><name sortKey="Nandi, Dipankar" sort="Nandi, Dipankar" uniqKey="Nandi D" first="Dipankar" last="Nandi">Dipankar Nandi</name>
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<front><div type="abstract" xml:lang="en">The goal of this cadaver study was to evaluate the feasibility and safety of da Vinci robot-assisted keyhole neurosurgery. Several keyhole craniotomies were fashioned including supraorbital subfrontal, retrosigmoid and supracerebellar infratentorial. In each case, a simple durotomy was performed, and the flap was retracted. The da Vinci surgical system was then used to perform arachnoid dissection towards the deep-seated intracranial cisterns. It was not possible to simultaneously pass the 12-mm endoscope and instruments through the keyhole craniotomy in any of the approaches performed, limiting visualization. The articulated instruments provided greater dexterity than existing tools, but the instrument arms could not be placed in parallel through the keyhole craniotomy and, therefore, could not be advanced to the deep cisterns without significant clashing. The da Vinci console offered considerable ergonomic advantages over the existing operating room arrangement, allowing the operating surgeon to remain non-sterile and seated comfortably throughout the procedure. However, the lack of haptic feedback was a notable limitation. In conclusion, while robotic platforms have the potential to greatly enhance the performance of transcranial approaches, there is strong justification for research into next-generation robots, better suited to keyhole neurosurgery.</div>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>World Neurosurg. 2013 Feb;79(2 Suppl):S3-13</RefSource>
<PMID Version="1">23391453</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>BMJ. 2013;346:f2461</RefSource>
<PMID Version="1">23615587</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Otolaryngol Head Neck Surg. 2013 Dec;149(6):940-6</RefSource>
<PMID Version="1">24154747</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Neurosurgery. 2014 Mar;10 Suppl 1:84-95; discussion 95-6</RefSource>
<PMID Version="1">23921708</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Br J Neurosurg. 2014 Oct;28(5):606-10</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Pediatr Neurosurg. 2002 Feb;36(2):85-9</RefSource>
<PMID Version="1">11893890</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>IEEE Trans Biomed Eng. 2013 Mar;60(3):674-81</RefSource>
<PMID Version="1">23372075</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>J Urol. 2008 Mar;179(3):1138-42; discussion 1142-3</RefSource>
<PMID Version="1">18206956</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Interact Cardiovasc Thorac Surg. 2009 Sep;9(3):500-5</RefSource>
<PMID Version="1">19542085</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Spine (Phila Pa 1976). 2009 Sep 1;34(19):2104-9</RefSource>
<PMID Version="1">19730218</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>ORL J Otorhinolaryngol Relat Spec. 2010;72(2):91-5</RefSource>
<PMID Version="1">20431319</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Korean Med Sci. 2011 Jan;26(1):150-3</RefSource>
<PMID Version="1">21218046</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Spine (Phila Pa 1976). 2011 Jan 15;36(2):E139-43</RefSource>
<PMID Version="1">20948463</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>World J Surg. 2012 Feb;36(2):447-52</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Neurosurgery. 2012 Sep;71(1 Suppl Operative):209-14</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>J Endourol. 2013 Jan;27(1):102-7</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Neurosurgery. 2013 Mar;72(1 Suppl Operative):2-5; discussion 5</RefSource>
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da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki