Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Sutherland, GR; Lama, S; Gan, LS; Wolfsberger, S; Zareinia, K.
Merging machines with microsurgery: clinical experience with neuroArm.
J Neurosurg. 2013; 118(3):521-9
Doi: 10.3171/2012.11.JNS12877
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Wolfsberger Stefan
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- Abstract:
- OBJECT: It has been over a decade since the introduction of the da Vinci Surgical System into surgery. Since then, technology has been advancing at an exponential rate, and newer surgical robots are becoming increasingly sophisticated, which could greatly impact the performance of surgery. NeuroArm is one such robotic system. METHODS: Clinical integration of neuroArm, an MR-compatible image-guided robot, into surgical procedure has been developed over a prospective series of 35 cases with varying pathology. RESULTS: Only 1 adverse event was encountered in the first 35 neuroArm cases, with no patient injury. The adverse event was uncontrolled motion of the left neuroArm manipulator, which was corrected through a rigorous safety review procedure. Surgeons used a graded approach to introducing neuroArm into surgery, with routine dissection of the tumor-brain interface occurring over the last 15 cases. The use of neuroArm for routine dissection shows that robotic technology can be successfully integrated into microsurgery. Karnofsky performance status scores were significantly improved postoperatively and at 12-week follow-up. CONCLUSIONS: Surgical robots have the potential to improve surgical precision and accuracy through motion scaling and tremor filters, although human surgeons currently possess superior speed and dexterity. Additionally, neuroArm's workstation has positive implications for technology management and surgical education. NeuroArm is a step toward a future in which a variety of machines are merged with medicine.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Aged - administration & dosage
- Brain Neoplasms - physiopathology, surgery
- Equipment Design - administration & dosage
- Female - administration & dosage
- Humans - administration & dosage
- Karnofsky Performance Status - administration & dosage
- Male - administration & dosage
- Microsurgery - instrumentation, methods
- Middle Aged - administration & dosage
- Neurosurgical Procedures - instrumentation, methods
- Prospective Studies - administration & dosage
- Robotics - administration & dosage
- Surgery, Computer-Assisted - instrumentation
- Time Factors - administration & dosage
- Treatment Outcome - administration & dosage
- Visual Fields - administration & dosage
- Find related publications in this database (Keywords)
- brain tumor
- intraoperative magnetic resonance imaging
- microsurgery
- surgical robotics
- technology
- surgical technique