Use of a micromanipula- tor system (NeuRobot) in endoscopic neurosurgery
Use of a micromanipula- tor system (NeuRobot) in endoscopic neurosurgery
复制标题
显微操作器系统 (NeuRobot) 在内窥镜神经外科手术中的应用
DOI：
10.1016/j.jocn.2012.01.033
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发表时间：
2012
期刊：
影响因子：
2
通讯作者：
Hongo K
中科院分区：
文献类型：
--
作者：
Takasuna H;Goto T;Kakizawa Y;Miyahara T;Koyama J;Tanaka Y;Kawai T;Hongo K
NeuRobot是一种具有刚性神经内窥镜和三个显微操作器的显微操作系统，用于微创和遥控神经外科手术。该系统可用于通过直径为10 mm的小窗口执行复杂的外科手术。本研究旨在评估NeuRobot在神经内镜检查中的可行性。使用NeuRobot在三个固定的尸体头部中模拟了四种不同的脑室内神经外科手术：（1）第三脑室底开窗术;（2）透明隔开窗术;（3）丘脑活检;（4）侧脑室脉络丛活检。每道手术时间均在2 min以内，且操作准确。在这些手术模拟后，第三脑室造口术进行了安全和充分的病人阻塞性脑积水由于中脑静脉血管瘤。我们的结果证实NeuRobot适用于传统内镜神经外科手术的病变。此外，NeuRobot由于其可操作性和稳定性，可以执行比传统神经内窥镜更复杂的外科手术。NeuRobot将成为一种有用的神经外科工具，用于处理传统神经内窥镜手术难以治疗的病变。
NeuRobot, a micromanipulator system with a rigid neuroendoscope and three micromanipulators, was developed for less invasive and telecontrolled neurosurgery. This system can be used to perform sophisticated surgical procedures through a small, 10-mm-diameter, window. The present study was performed to evaluate the feasibility of using NeuRobot in neuroendoscopy. Four different intraventricular neurosurgical procedures were simulated in three fixed cadaver heads using NeuRobot: (1) fenestration of the floor of the third ventricle; (2) fenestration of the septum pellucidum; (3) biopsy of the thalamus; and (4) biopsy of the choroid plexus of the lateral ventricle. Each procedure required less than 2min, and all procedures were performed accurately. After these surgical simulations, a third ventriculostomy was carried out safely and adequately in a patient with obstructive hydrocephalus due to a midbrain venous angioma. Our results confirmed that NeuRobot is applicable to lesions in which conventional endoscopic neurosurgery is indicated. Furthermore, NeuRobot can perform more complex surgical procedures than a conventional neuroendoscope because of its maneuverability and stability. NeuRobot will become a useful neurosurgical tool for dealing with lesions that are difficult to treat by conventional neuroendoscopic surgery.