Framed and non‐framed robotics in neurosurgery:a ten‐years single‐center experience

Georgios Naros, Kathrin Machetanz, Florian Grimm, Florian Roser, Alireza Gharabaghi, Marcos Tatagiba
2021 International Journal of Medical Robotics and Computer Assisted Surgery  
Safety, efficacy and efficiency of neurosurgical robots are defined by their design (i.e., framed and non-framed) and procedural workflow (from image to surgery). The present study describes the quality indicators of three different robots in brain and spine surgery. This single-center study enrolled 252 patients over a ten-years period. Safety (complication rate) and efficacy (diagnostic yield, pedicle screw placement) were determined. Predictors of workflow efficiency (e.g., skin-to-skin)
more » ... evaluated and compared to conventional techniques (neuronavigation, stereotaxy). All robots showed excellent reliability (97.5-100%) with low complication rates (4.5-5.3%) and high efficacy (94.7-97.7%). Robotics demonstrated a better time-efficiency than neuronavigation. However, there was no shortening of surgery time compared to conventional stereotaxy. Time-efficiency differed significantly between framed and non-framed workflows. While all neurosurgical robots were reliable, safe and efficacious, there were significant differences in time-efficiency. Procedural workflows should be improved to increase the acceptance of robotics in neurosurgery. This article is protected by copyright. All rights reserved.
doi:10.1002/rcs.2282 pmid:34030218 fatcat:ngopav2xibagxlkan26lmhc7bq