Surgical Robotic Technology for Developing an Endonasal Endoscopic Transsphenoidal Surgery (EETS) Robotic System

Abstract

© 2019 Chumnanvej et al. Purpose: Neurosurgical robots are acknowledged for their advantages in assisting neurosurgeons in enhancing their precision and accuracy. Here, the aim of this study is to report the first use as a robot-assisted Endonasal Endoscopic Transsphenoidal (EET) approach, applied to reach sphenoid sinus in a cadaver. The introduction of the seven tenets for the Endonasal Endoscopic Transsphenoidal approach will propel the feasibility of neurosurgical techniques and instruments for intrasellar lesions. Methods: Endonasal endoscopic transsphenoidal approach in a cadaver was performed under robot assistance with simple navigation system. This preliminary study reveals the accuracy and precision of the robot to reach a target at sphenoid sinus safely and within the shortest duration . Results: This robotic technology provided the foundation to support neurosurgeons when they are working in narrow and complicated surgical corridors with accuracy and precision. Conclusion: This article reveals the first robot-assisted Endonasal Endoscopic Transsphenoidal approach. This demonstrates the feasibility of the evolution and will augment neurosurgeons toward their limits of minimally invasive surgical techniques, manual dexterity, and spatial orientation. These tenets will be as state of the art and overcome the future challenges of Endonasal Endoscopic Transsphenoidal approach shortly.