The role of robotic systems in improving surgical interventions in neurosurgery
DOI:
https://doi.org/10.56294/saludcyt20251197Keywords:
Frameless stereotaxy, Frame-based stereotaxy, Biopsy, Brain tumor, Robotic system, NeurosurgeryAbstract
Introduction: Robotic systems can help to effectively perform complex tasks in neurosurgery that require high precision, but due to the difficulty of operative access and the peculiarities of the anatomy of the nervous system, their wide application is limited. Objective: evaluate the effectiveness, economic feasibility and prospects of using frame-based and frameless stereotaxis for brain biopsy. Methods: A total of 155 patients of the neurosurgery department underwent brain biopsy procedures. Depending on the biopsy methods 2 groups were distinguished: group 1 (frameless) 71 (45,8 %) patients and group 2 (frame-based) 84 (54,2 %) patients. Positive results of biopsy, postoperative complications and operative time were recorded and compared with data from studies on similar topics. Groups 1 and 2 didn’t differ in lesion localization, sex, age, length of the skin incision and diameter of the trepanation hole. Results: The diagnostic yield was 94,4 % in group 1 and 92,9 % in group 2 (p>0,05). The frequency of hemorrhage was 7,0 % versus 3,6 %, p=0,471, the frequency of edema was 2,7 % versus 1,2 %, p=0,593. The duration of the operation was shorter in group 1 (112 ± 13,6 min versus 137 ± 17,6 min, p<0,001). Conclusions: Both frameless and frame-based systems are effective, safe, and reliable tools that has excellent diagnostic yield, above 92 % low frequency of postoperative complications and high accuracy. The main benefits of frameless stereotactic biopsy is shorter operative time, comfort for patients, and less intraoperative fatigue for surgeon.
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Copyright (c) 2025 Andrii Burachyk, Iryna Borysiuk, Mykola Madinov, Volodymyr Babiak, Olena Babiak (Author)
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