title: Current state-of-the-art and future perspectives of robotic technology in neurosurgery.
abstract: Neurosurgery is one of the most demanding surgical specialties in terms of precision requirements and surgical field limitations. Recent advancements in robotic technology have generated the possibility of incorporating advanced technological tools to the neurosurgical operating room. Although previous studies have addressed the specific details of new robotic systems, there is very little literature on the strengths and drawbacks of past attempts, currently available platforms and prototypes in development. In this review, the authors present a critical historical analysis of the development of robotic technology in neurosurgery as well as a comprehensive summary of the currently available systems that can be expected to be incorporated to the neurosurgical armamentarium in the near future. Finally, the authors present a critical analysis of the main technical challenges in robotic technology development at the present time (such as the design of improved systems for haptic feedback and the necessity of incorporating intraoperative imaging data) as well as the benefits which robotic technology is expected to bring to specific neurosurgical subspecialties in the near future.
authors.affiliation: Invision Health Brain & Spine Center, 400 International Drive, Williamsville, NY, 14421, USA, tobiasmattei@yahoo.com.
authors.forename: Tobias A
authors.initials: TA
authors.lastname: Mattei
authors.forename: Abraham Hafiz
authors.initials: AH
authors.lastname: Rodriguez
authors.forename: Deepak
authors.initials: D
authors.lastname: Sambhara
authors.forename: Ehud
authors.initials: E
authors.lastname: Mendel
mesh_terms: D000818:Animals; D002490:Central Nervous System / Q000601:surgery*; D006801:Humans; D009493:Neurosurgery / Q000295:instrumentation*; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods; D015203:Reproducibility of Results; D012371:Robotics / Q000295:instrumentation*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods
references.citation: Stereotact Funct Neurosurg. 2009;87(2):88-93
references.pmid: 19223694
references.citation: Acta Orthop Belg. 2012 Apr;78(2):240-5
references.pmid: 22696996
references.citation: Neurosurgery. 2008 Mar;62(3 Suppl 1):245-7; discussion 247-8
references.pmid: 18424992
references.citation: J Neurosurg. 2003 Dec;99(6):1082-4
references.pmid: 14705738
references.citation: Int J Med Robot. 2004 Jun;1(1):7-22
references.pmid: 17520593
references.citation: Acta Neurochir Suppl. 2011;109:231-6
references.pmid: 20960348
references.citation: Acta Neurochir Suppl. 2006;98:63-6
references.pmid: 17009702
references.citation: Neurosurgery. 2004 Mar;54(3):525-36; discussion 536-7
references.pmid: 15028126
references.citation: Minim Invasive Ther Allied Technol. 2009;18(4):193-216
references.pmid: 19548175
references.citation: Neurosurgery. 2013 Jan;72 Suppl 1:12-8
references.pmid: 23254800
references.citation: IEEE Trans Biomed Eng. 1988 Feb;35(2):153-60
references.pmid: 3280462
references.citation: Neurosurgery. 2013 Jan;72 Suppl 1:19-26
references.pmid: 23254808
references.citation: Eur Spine J. 2011 Jun;20(6):860-8
references.pmid: 21384205
references.citation: Br J Radiol. 1973 Dec;46(552):1023-47
references.pmid: 4757353
references.citation: Proc Inst Mech Eng H. 2010;224(6):797-800
references.pmid: 20608496
references.citation: Neurosurgery. 2000 May;46(5):1259-61
references.pmid: 10807263
references.citation: Neurosurgery. 2002 Oct;51(4):985-8; discussion 988
references.pmid: 12234407
references.citation: Int J Med Robot. 2006 Jun;2(2):114-22
references.pmid: 17520622
references.citation: Neurosurgery. 2005 Mar;56(3):421-33; discussion 421-33
references.pmid: 15730567
references.citation: Int J Med Robot. 2011 Mar;7(1):101-6
references.pmid: 21341368
references.citation: Ann Surg. 1918 Jul;68(1):5-11
references.pmid: 17863946
references.citation: Minim Invasive Neurosurg. 2004 Feb;47(1):41-6
references.pmid: 15100931
references.citation: Neurochirurgie. 2010 Oct;56(5):363-7
references.pmid: 20728907
references.citation: Ann Surg. 1919 Oct;70(4):397-403
references.pmid: 17864170
references.citation: J Brain Dis. 2009 Jul 17;1:45-53
references.pmid: 23818809
references.citation: J Neurosurg. 2012 May;116(5):1002-6
references.pmid: 22404667
references.citation: Neurosurgery. 2013 Jan;72 Suppl 1:39-42
references.pmid: 23254811
references.citation: Br J Radiol. 1995 Nov;68(815):H166-72
references.pmid: 8542219
references.citation: Acta Neurochir Suppl. 2011;109:241-5
references.pmid: 20960350
references.citation: Appl Neurophysiol. 1987;50(1-6):153-4
references.pmid: 3329838
references.citation: Int J Med Robot. 2011 Dec;7(4):475-81
references.pmid: 21984231
references.citation: Neurosurgery. 2001 Mar;48(3):584-9
references.pmid: 11270549
references.citation: Neurol Res. 1987 Jun;9(2):123-8
references.pmid: 2886941
references.citation: World Neurosurg. 2012 Nov;78(5):392-8
references.pmid: 22985531
references.citation: Stereotact Funct Neurosurg. 2003;80(1-4):132-5
references.pmid: 14745222
references.citation: Annu Rev Biomed Eng. 1999;1:211-40
references.pmid: 11701488
references.citation: Surg Neurol Int. 2012;3:149
references.pmid: 23372966
references.citation: J Image Guid Surg. 1995;1(5):266-72
references.pmid: 9080346
references.citation: JSLS. 2009 Jan-Mar;13(1):64-8
references.pmid: 19366544
references.citation: Comput Aided Surg. 2007 Mar;12(2):105-15
references.pmid: 17487660
references.citation: J Neurosurg Spine. 2013 Nov;19(5):644-7
references.pmid: 24053374
references.citation: Neurosurgery. 2006 Oct;59(4 Suppl 2):ONS336-44; discussion ONS344-6
references.pmid: 17041502
references.citation: Proc Inst Mech Eng H. 2010;224(5):691-713
references.pmid: 20718271
references.citation: Spine (Phila Pa 1976). 2010 Nov 15;35(24):2109-15
references.pmid: 21079498
references.citation: J Neurosurg. 2013 Mar;118(3):521-9
references.pmid: 23240694
references.citation: Int J Med Robot. 2006 Jun;2(2):107-13
references.pmid: 17520621
references.citation: Neurosurgery. 2013 Jan;72 Suppl 1:139-53
references.pmid: 23254803
references.citation: Neurosurgery. 2008 Feb;62(2):286-92; discussion 292-3
references.pmid: 18382307
references.citation: Proc Inst Mech Eng H. 2010;224(5):653-79
references.pmid: 20718269
references.citation: Neurosurgery. 2013 Jan;72 Suppl 1:27-32
references.pmid: 23254809
references.citation: Neurosurgery. 2013 Jan;72 Suppl 1:8-11
references.pmid: 23254817