Neurosurgery medical robot Remebot for the treatment of 17 patients with hypertensive intracerebral hemorrhage
Objective To verify the minimally invasive surgical approach and therapeutic effects of using the medical neurosurgery robot Remebot to treat hypertensive intracerebral hemorrhage (HICH). Methods Clinical data for 17 HICH patients were analyzed retrospectively. Hematoma evacuation and tube drainage...
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Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2019-10, Vol.15 (5), p.e2024-n/a |
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container_title | The international journal of medical robotics + computer assisted surgery |
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creator | Wang, Tao Zhao, Quan‐Jun Gu, Jian‐Wen Shi, Tie‐Jun Yuan, Xujun Wang, Jia Cui, Shao‐Jie |
description | Objective
To verify the minimally invasive surgical approach and therapeutic effects of using the medical neurosurgery robot Remebot to treat hypertensive intracerebral hemorrhage (HICH).
Methods
Clinical data for 17 HICH patients were analyzed retrospectively. Hematoma evacuation and tube drainage using Remebot frameless stereotaxic techniques were performed for all patients, and urokinase was injected into the hematomas after the operations.
Results
Robot‐assisted stereotactic techniques can accurately guide hematoma punctures, and no deaths occurred among these patients. The average positioning error was 1.28 ± 0.49 mm. The average drainage duration was 3.4 days. The 3‐month postoperative follow‐up revealed improved neurological functions and quality of life for all patients.
Conclusions
The medical neurosurgery robot Remebot is minimally invasive, has high positional accuracy, and facilitates surgical planning according to the shape of the hematoma. Therefore, robot‐assisted surgery using Remebot represents a safe and effective treatment method for hematoma evacuation and tube drainage in HICH patients. |
doi_str_mv | 10.1002/rcs.2024 |
format | Article |
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To verify the minimally invasive surgical approach and therapeutic effects of using the medical neurosurgery robot Remebot to treat hypertensive intracerebral hemorrhage (HICH).
Methods
Clinical data for 17 HICH patients were analyzed retrospectively. Hematoma evacuation and tube drainage using Remebot frameless stereotaxic techniques were performed for all patients, and urokinase was injected into the hematomas after the operations.
Results
Robot‐assisted stereotactic techniques can accurately guide hematoma punctures, and no deaths occurred among these patients. The average positioning error was 1.28 ± 0.49 mm. The average drainage duration was 3.4 days. The 3‐month postoperative follow‐up revealed improved neurological functions and quality of life for all patients.
Conclusions
The medical neurosurgery robot Remebot is minimally invasive, has high positional accuracy, and facilitates surgical planning according to the shape of the hematoma. Therefore, robot‐assisted surgery using Remebot represents a safe and effective treatment method for hematoma evacuation and tube drainage in HICH patients.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.2024</identifier><identifier>PMID: 31267676</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; drainage ; Evacuation ; Female ; frameless stereotaxy ; Health services ; Hemorrhage ; Humans ; Hypertension ; hypertensive ; intracranial hemorrhage ; Intracranial Hemorrhage, Hypertensive - diagnostic imaging ; Intracranial Hemorrhage, Hypertensive - surgery ; Male ; Middle Aged ; Neurosurgery ; Neurosurgical Procedures - adverse effects ; Neurosurgical Procedures - methods ; Retrospective Studies ; Robotic Surgical Procedures - adverse effects ; Robotic Surgical Procedures - methods ; robotics ; Robots ; Stereotaxic Techniques ; Tomography, X-Ray Computed ; Urokinase</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2019-10, Vol.15 (5), p.e2024-n/a</ispartof><rights>2019 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3494-1641e7c40a43b4c2e9d38e981cef52092e3a513b1de317d19ad21c32a7f53ae83</citedby><cites>FETCH-LOGICAL-c3494-1641e7c40a43b4c2e9d38e981cef52092e3a513b1de317d19ad21c32a7f53ae83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.2024$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.2024$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31267676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Tao</creatorcontrib><creatorcontrib>Zhao, Quan‐Jun</creatorcontrib><creatorcontrib>Gu, Jian‐Wen</creatorcontrib><creatorcontrib>Shi, Tie‐Jun</creatorcontrib><creatorcontrib>Yuan, Xujun</creatorcontrib><creatorcontrib>Wang, Jia</creatorcontrib><creatorcontrib>Cui, Shao‐Jie</creatorcontrib><title>Neurosurgery medical robot Remebot for the treatment of 17 patients with hypertensive intracerebral hemorrhage</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int J Med Robot</addtitle><description>Objective
To verify the minimally invasive surgical approach and therapeutic effects of using the medical neurosurgery robot Remebot to treat hypertensive intracerebral hemorrhage (HICH).
Methods
Clinical data for 17 HICH patients were analyzed retrospectively. Hematoma evacuation and tube drainage using Remebot frameless stereotaxic techniques were performed for all patients, and urokinase was injected into the hematomas after the operations.
Results
Robot‐assisted stereotactic techniques can accurately guide hematoma punctures, and no deaths occurred among these patients. The average positioning error was 1.28 ± 0.49 mm. The average drainage duration was 3.4 days. The 3‐month postoperative follow‐up revealed improved neurological functions and quality of life for all patients.
Conclusions
The medical neurosurgery robot Remebot is minimally invasive, has high positional accuracy, and facilitates surgical planning according to the shape of the hematoma. Therefore, robot‐assisted surgery using Remebot represents a safe and effective treatment method for hematoma evacuation and tube drainage in HICH patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>drainage</subject><subject>Evacuation</subject><subject>Female</subject><subject>frameless stereotaxy</subject><subject>Health services</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Hypertension</subject><subject>hypertensive</subject><subject>intracranial hemorrhage</subject><subject>Intracranial Hemorrhage, Hypertensive - diagnostic imaging</subject><subject>Intracranial Hemorrhage, Hypertensive - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Neurosurgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Robotic Surgical Procedures - methods</subject><subject>robotics</subject><subject>Robots</subject><subject>Stereotaxic Techniques</subject><subject>Tomography, X-Ray Computed</subject><subject>Urokinase</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1LHDEUhkNpqXYt-Ask0JvejOYkma9LWfoFi4JV6N2QyZxxRmYm60mmsv_erKsrCJKLkwMPD4f3ZewYxCkIIc_I-lMppP7ADkHnRZKW2b-P-38KB-yL93dC6FRn-jM7UCCzPL5DNl3gTM7PdIu04SM2vTUDJ1e7wK9wxO1sHfHQIQ-EJow4Be5aDjlfm9DHzfOHPnS826yRAk6-_4-8nwIZi4Q1RV2HoyPqzC0esU-tGTx-fZ4LdvPzx_Xyd7K6_PVneb5KrNKlTiDTgLnVwmhVayuxbFSBZQEW21SKUqIyKagaGlSQN1CaRoJV0uRtqgwWasG-77xrcvcz-lCNvbc4DGZCN_tKyhSyEqAQEf32Br1zM03xukgVGrRSefoqtDEtT9hWa-pHQ5sKRLXtoIodVNsOInryLJzrGOgefAk9AskOeOgH3Lwrqq6Wf5-EjzdrkO8</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Wang, Tao</creator><creator>Zhao, Quan‐Jun</creator><creator>Gu, Jian‐Wen</creator><creator>Shi, Tie‐Jun</creator><creator>Yuan, Xujun</creator><creator>Wang, Jia</creator><creator>Cui, Shao‐Jie</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope></search><sort><creationdate>201910</creationdate><title>Neurosurgery medical robot Remebot for the treatment of 17 patients with hypertensive intracerebral hemorrhage</title><author>Wang, Tao ; Zhao, Quan‐Jun ; Gu, Jian‐Wen ; Shi, Tie‐Jun ; Yuan, Xujun ; Wang, Jia ; Cui, Shao‐Jie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3494-1641e7c40a43b4c2e9d38e981cef52092e3a513b1de317d19ad21c32a7f53ae83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>drainage</topic><topic>Evacuation</topic><topic>Female</topic><topic>frameless stereotaxy</topic><topic>Health services</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Hypertension</topic><topic>hypertensive</topic><topic>intracranial hemorrhage</topic><topic>Intracranial Hemorrhage, Hypertensive - diagnostic imaging</topic><topic>Intracranial Hemorrhage, Hypertensive - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Neurosurgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Robotic Surgical Procedures - methods</topic><topic>robotics</topic><topic>Robots</topic><topic>Stereotaxic Techniques</topic><topic>Tomography, X-Ray Computed</topic><topic>Urokinase</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Tao</creatorcontrib><creatorcontrib>Zhao, Quan‐Jun</creatorcontrib><creatorcontrib>Gu, Jian‐Wen</creatorcontrib><creatorcontrib>Shi, Tie‐Jun</creatorcontrib><creatorcontrib>Yuan, Xujun</creatorcontrib><creatorcontrib>Wang, Jia</creatorcontrib><creatorcontrib>Cui, Shao‐Jie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Tao</au><au>Zhao, Quan‐Jun</au><au>Gu, Jian‐Wen</au><au>Shi, Tie‐Jun</au><au>Yuan, Xujun</au><au>Wang, Jia</au><au>Cui, Shao‐Jie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurosurgery medical robot Remebot for the treatment of 17 patients with hypertensive intracerebral hemorrhage</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int J Med Robot</addtitle><date>2019-10</date><risdate>2019</risdate><volume>15</volume><issue>5</issue><spage>e2024</spage><epage>n/a</epage><pages>e2024-n/a</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Objective
To verify the minimally invasive surgical approach and therapeutic effects of using the medical neurosurgery robot Remebot to treat hypertensive intracerebral hemorrhage (HICH).
Methods
Clinical data for 17 HICH patients were analyzed retrospectively. Hematoma evacuation and tube drainage using Remebot frameless stereotaxic techniques were performed for all patients, and urokinase was injected into the hematomas after the operations.
Results
Robot‐assisted stereotactic techniques can accurately guide hematoma punctures, and no deaths occurred among these patients. The average positioning error was 1.28 ± 0.49 mm. The average drainage duration was 3.4 days. The 3‐month postoperative follow‐up revealed improved neurological functions and quality of life for all patients.
Conclusions
The medical neurosurgery robot Remebot is minimally invasive, has high positional accuracy, and facilitates surgical planning according to the shape of the hematoma. Therefore, robot‐assisted surgery using Remebot represents a safe and effective treatment method for hematoma evacuation and tube drainage in HICH patients.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31267676</pmid><doi>10.1002/rcs.2024</doi><tpages>6</tpages></addata></record> |
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subjects | Aged Aged, 80 and over drainage Evacuation Female frameless stereotaxy Health services Hemorrhage Humans Hypertension hypertensive intracranial hemorrhage Intracranial Hemorrhage, Hypertensive - diagnostic imaging Intracranial Hemorrhage, Hypertensive - surgery Male Middle Aged Neurosurgery Neurosurgical Procedures - adverse effects Neurosurgical Procedures - methods Retrospective Studies Robotic Surgical Procedures - adverse effects Robotic Surgical Procedures - methods robotics Robots Stereotaxic Techniques Tomography, X-Ray Computed Urokinase |
title | Neurosurgery medical robot Remebot for the treatment of 17 patients with hypertensive intracerebral hemorrhage |
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