nach oben

Child's Nervous System

Erschienen in:

27.01.2022 | Original Article

A simulation study to investigate the use of concentric tube robots for epilepsy surgery

verfasst von: Paul H. Kang, Thomas Looi, Grace M. Thiong’o, James Drake

Erschienen in: Child's Nervous System | Ausgabe 7/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Patients with pharmacoresistant refractory epilepsy may require epilepsy surgery to prevent future seizure occurrences. Conventional surgery consists of a large craniotomy with straight rigid tools with associated outcomes of morbidity, large tissue resections, and long post-operative recovery times. Concentric tube robots have recently been developed as a promising application to neurosurgery due to their nonlinear form and small diameter. The authors present a concept study to explore the feasibility of performing minimally invasive hemispherotomy with concentric tube robots.

Methods

A model simulation was used to achieve the optimal design and surgical path planning parameters of the concentric tube robot for corpus callosotomy and temporal lobectomy. A single medial burr hole was chosen to access the lateral ventricles for both white matter disconnections.

Results

The concentric tube robot was able to accurately reach the designated surgical paths on the corpus callosum and the temporal lobe.

Conclusion

In a model simulation, the authors demonstrated the feasibility of performing corpus callosotomy and temporal lobectomy using concentric tube robots. Further advancements in the technology may increase the applicability of this technique for epilepsy surgery to better patient outcomes.

Nur mit Berechtigung zugänglich

Fuchs KH (2002) Minimally Invasive Surgery. Endoscopy 34:154–159CrossRef

Villemure JG, Daniel RT (2006) Peri-insular hemispherotomy in paediatric epilepsy. Childs Nerv Syst 22:967–981. https://doi.org/10.1007/s00381-006-0134-3CrossRefPubMed

Schramm J, Kral T, Clusmann H (2001) Transsylvian keyhole functional hemispherectomy. Neurosurgery 49:891–901. https://doi.org/10.1097/00006123-200110000-00021CrossRefPubMed

Baumgartner C, Koren JP, Britto-Arias M et al (2019) Presurgical epilepsy evaluation and epilepsy surgery. F1000Research 8(F1000 Faculty Rev):1818. https://doi.org/10.12688/f1000research.17714.1

Delalande O, Bulteau C, Dellatolas G et al (2007) Vertical parasagittal hemispherotomy: surgical procedures and clinical long-term outcomes in a population of 83 children. Oper Neurosurg 60:19–32. https://doi.org/10.1227/01.NEU.0000249246.48299.12CrossRef

Bahuleyan B, Manjila S, Robinson S, Cohen AR (2010) Minimally invasive endoscopic transventricular hemispherotomy for medically intractable epilepsy: a new approach and cadaveric demonstration. J Neurosurg Pediatr 6:536–540. https://doi.org/10.3171/2010.9.PEDS10267CrossRefPubMed

Sood S, Marupudi NI, Asano E et al (2015) Endoscopic corpus callosotomy and hemispherotomy. J Neurosurg Pediatr 16:681–686. https://doi.org/10.3171/2015.5.PEDS1531CrossRefPubMed

Wagner K, Vaz-Guimaraes F, Camstra K, Lam S (2019) Endoscope-assisted hemispherotomy: translation of technique from cadaveric anatomical feasibility study to clinical implementation. J Neurosurg Pediatr 23:178–186. https://doi.org/10.3171/2018.8.PEDS18349CrossRef

Chua MMJ, Bushlin I, Stredny CM et al (2021) Magnetic resonance imaging–guided laser-induced thermal therapy for functional hemispherotomy in a child with refractory epilepsy and multiple medical comorbidities. J Neurosurg Pediatr 27:30–35. https://doi.org/10.3171/2020.6.PEDS20455CrossRef

10.

Anor T, Madsen JR, Dupont P (2011) Algorithms for design of continuum robots using the concentric tubes approach: a neurosurgical example. In: 2011 IEEE International Conference on Robotics and Automation. IEEE, Shanghai, China, pp 667–673

11.

Granna J, Nabavi A, Burgner-Kahrs J (2019) Computer-assisted planning for a concentric tube robotic system in neurosurgery. Int J Comput Assist Radiol Surg 14:335–344. https://doi.org/10.1007/s11548-018-1890-8CrossRefPubMed

12.

Boushaki M, Liu C, Herman B et al (2016) Optimization of concentric-tube robot design for deep anterior brain tumor surgery. In: 2016 14th International Conference on Control, Automation, Robotics and Vision (ICARCV). IEEE, Phuket, Thailand, pp 1–6

13.

Bergeles C, Gosline AH, Vasilyev NV et al (2015) Concentric tube robot design and optimization based on task and anatomical constraints. IEEE Trans Robot 31:67–84. https://doi.org/10.1109/TRO.2014.2378431CrossRefPubMedPubMedCentral

14.

Bedell C, Lock J, Gosline A, Dupont PE (2011) Design optimization of concentric tube robots based on task and anatomical constraints. In: 2011 IEEE International Conference on Robotics and Automation. IEEE, Shanghai, China, pp 398–403

15.

Baykal C, Bowen C, Alterovitz R (2019) Asymptotically optimal kinematic design of robots using motion planning. Auton Robots 43:345–357. https://doi.org/10.1007/s10514-018-9766-xCrossRefPubMed

16.

Bruns TL, Remirez AA, Emerson MA et al (2021) A modular, multi-arm concentric tube robot system with application to transnasal surgery for orbital tumors. Int J Robot Res 40:521–533. https://doi.org/10.1177/02783649211000074CrossRef

17.

Burgner J, Rucker DC, Gilbert HB et al (2014) A telerobotic system for transnasal surgery. IEEEASME Trans Mechatron 19:996–1006. https://doi.org/10.1109/TMECH.2013.2265804CrossRef

18.

Hendrick RJ, Mitchell CR, Herrell SD, Webster RJ III (2015) Hand-held transendoscopic robotic manipulators: a transurethral laser prostate surgery case study. Int J Robot Res 34:1559–1572. https://doi.org/10.1177/0278364915585397CrossRef

19.

Godage IS, Remirez AA, Wirz R et al (2015) Robotic intracerebral hemorrhage evacuation: an in-scanner approach with concentric tube robots. In: 2015 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). IEEE, Hamburg, Germany, pp 1447–1452

20.

Burgner J, Gilbert HB, Webster III RJ (2013) On the computational design of concentric tube robots: Incorporating volume-based objectives. In: 2013 IEEE International Conference on Robotics and Automation. IEEE, Karlsruhe, Germany, pp 1193–1198

Titel: A simulation study to investigate the use of concentric tube robots for epilepsy surgery
verfasst von: Paul H. Kang
Thomas Looi
Grace M. Thiong’o
James Drake
Publikationsdatum: 27.01.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Child's Nervous System / Ausgabe 7/2022
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-022-05449-z

Ventriculoperitoneal shunt management in children undergoing liver transplantation

Case Report

Flow diverter stents for pediatric traumatic carotid cavernous fistula: a case report and literature review

Case Report

Making the Diagnosis in Sagittal Craniosynostosis—It’s Height, Not Length, That Matters

Original Article

The evolving landscape of pilocytic astrocytoma: a bibliometric analysis of the top-100 most cited publications

Original Article

Symptomatic bilateral choroid plexus xanthogranuloma in a pediatric patient

Case Report

The Virgin and Child with the Infant St. John the Baptist by Sandro Botticelli (1445–1510): does the child have Pompe disease?

Brief Report

Neu im Fachgebiet Chirurgie

Mit Lidocain kommt der Darm nicht schneller in Schwung

13.01.2025
Kolektomie
Nachrichten

Verzögertes Wiederanspringen der Darmfunktion ist ein Hauptfaktor dafür, wenn Patientinnen und Patienten nach einer Kolonresektion länger als geplant im Krankenhaus bleiben müssen. Ob man diesem Problem mit Lidocain vorbeugen kann, war Thema einer Studie.

Kein Unterschied bei inadäquaten Schocks zwischen ICD-Typen

24.12.2024
Implantierbarer Kardioverter-Defibrillator
Nachrichten

Inadäquate Schockabgaben sind ein unerwünschter Effekt der Therapie mit implantierbaren Kardioverter-Defibrillatoren. Subkutanen Geräten haftet dabei der Ruf an, dafür besonders anfällig zu sein. Die PRAETORIAN-Forschungsgruppe ist dem nachgegangen.

DCIS: Ist ein Verzicht auf eine Operation möglich?

Mammakarzinom
Nachrichten

Die COMET-Studie zeigt, dass aktives Monitoring bei Patientinnen mit duktalem Carcinoma in situ (DCIS) hinsichtlich der kumulativen Zwei-Jahres-Rate an ipsilateralen invasiven Karzinomen der leitliniengerechten Standardbehandlung nicht unterlegen ist. Dennoch wird von einem Verzicht auf eine Operation abgeraten, wie in einem begleitenden Editorial betont wird.

Soll man bei Cholezystektomie routinemäßig cholangiografieren?

18.12.2024
Cholezystektomie
Nachrichten

Eine US-Studie scheint den Befürwortern einer routinemäßigen intraoperativen Cholangiografie im Rahmen einer Cholezystektomie Recht zu geben. Die Studienkommentatoren in JAMA Surgery sparen jedoch nicht mit Kritik.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

A simulation study to investigate the use of concentric tube robots for epilepsy surgery