title: Clinical application of robotic telemanipulation system in neurosurgery. Case report.
abstract: The NeuRobot is a telecontrolled microscopic micromanipulator system designed for neurosurgical procedures. The unit houses a three-dimensional endoscope and three robot arms that the surgeon operates without direct contact with the patient. The authors have successfully performed robotics-assisted neurosurgical procedures by using the NeuRobot in a 54-year-old man who had a recurrent atypical meningioma. Following the usual preparation of craniotomy and opening of the dura mater, a portion of the tumor was removed using the NeuRobot with the aid of microscopic observation. No complication related to the use of the NeuRobot was encountered and the patient's postoperative course was uneventful. Although various kinds of robots have been developed for use in neurosurgery in recent years, a robotic telemanipulation system capable of performing several surgical tasks has not previously been introduced to clinical neurosurgery. This is the first case report in which neurosurgical manipulation by a robotics system is described.
authors.affiliation: Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Goto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hongo
authors.forename: Yukinari
authors.initials: Y
authors.lastname: Kakizawa
authors.forename: Hisashi
authors.initials: H
authors.lastname: Muraoka
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Miyairi
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Kobayashi
mesh_terms: D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000295:instrumentation*; D012371:Robotics / Q000295:instrumentation*; D017216:Telemedicine / Q000295:instrumentation*