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首页> 外文期刊>Neurosurgery >Robot-assisted Navigated Neuroendoscopy.
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Robot-assisted Navigated Neuroendoscopy.

机译：机器人辅助导航神经内窥镜检查。

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OBJECTIVE: Major steps in the evolution of advanced neurosurgical techniques include microneurosurgery, neuroendoscopy and its minimally invasive variations, neuronavigation, and advanced intraoperative imaging. With traditional neuroendoscopic techniques (e.g., freehand endoscopy or the use of mechanical arms), definitive controlled movement of the endoscope within the brain depends on the experience and skill of the individual neurosurgeon. METHODS: With the Evolution 1 precision robot (Universal Robot Systems, Schwerin, Germany), a new neurosurgical tool has become available for the precise steering of instruments within the cranium. After preclinical anatomic and precision studies, the system was used for neuronavigated endoscopic procedures for three patients. RESULTS: All robot-assisted, navigated, endoscopic procedures were successfully completed. The time for the registration procedure and setup of the robot decreased from 60 minutes for the first patient to 30 minutes for the third patient. The time for the surgical part of the endoscopic procedure ranged from 17 to 65 minutes. No complications occurred during any procedure. CONCLUSION: The use of robotic technology for neuroendoscopic procedures is a major advance for controlled movement of the endoscope within the cranium. The start-up procedure and calibration of the robot are still time-consuming, but the actual operation time is comparable to that of freehand neuroendoscopic procedures. Steering of the endoscope is facilitated, and the precision of the endoscopic movements is noteworthy.
机译：目的：先进的神经外科技术发展的主要步骤包括微神经外科，神经内窥镜检查及其微创变异，神经导航和术中先进成像。利用传统的神经内窥镜技术（例如徒手内窥镜检查或使用机械臂），内窥镜在大脑中的确定受控运动取决于单个神经外科医生的经验和技能。方法：有了Evolution 1精密机器人（Universal Robot Systems，德国什未林），一种新的神经外科工具已经可以用来精确控制颅骨内的器械。经过临床前解剖学和精密度研究，该系统用于三名患者的神经导航内窥镜检查程序。结果：所有机器人辅助，导航，内窥镜检查程序均已成功完成。注册程序和机器人设置的时间从第一位患者的60分钟减少到第三位患者的30分钟。内窥镜手术的外科手术时间为17至65分钟。在任何过程中均未发生并发症。结论：使用机器人技术进行神经内窥镜检查是控制内窥镜在颅骨内运动的一项重大进展。机器人的启动过程和校准仍然很耗时，但实际操作时间与徒手神经内镜检查过程相当。内窥镜的操纵变得容易，并且内窥镜运动的精度是值得注意的。

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