Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis
The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSAⓇ) device (Zimmer Biomet; Warsaw, IN, USA) for stereoelectroencephalography (SEEG) electrode implantation in patients with drug-resistant epilepsy. Based on...
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| Format: | Article |
| Language: | English |
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The Japan Neurosurgical Society
2024-02-01
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| Series: | Neurologia Medico-Chirurgica |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/nmc/64/2/64_2023-0119/_pdf/-char/en |
| _version_ | 1797269120534708224 |
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| author | Anukoon KAEWBORISUTSAKUL Mikhail CHERNOV Suguru YOKOSAKO Yuichi KUBOTA |
| author_facet | Anukoon KAEWBORISUTSAKUL Mikhail CHERNOV Suguru YOKOSAKO Yuichi KUBOTA |
| author_sort | Anukoon KAEWBORISUTSAKUL |
| collection | DOAJ |
| description | The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSAⓇ) device (Zimmer Biomet; Warsaw, IN, USA) for stereoelectroencephalography (SEEG) electrode implantation in patients with drug-resistant epilepsy. Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was carried out. Overall, 855 nonduplicate relevant articles were determined, and 15 of them were selected for analysis. The benefits of the ROSAⓇ device use in terms of electrode placement accuracy, as well as operative time length, perioperative complications, and seizure outcomes, were evaluated. Studies that were included reported on a total of 11,257 SEEG electrode implantations. The limited number of comparative studies hindered the comprehensive evaluation of the electrode implantation accuracy. Compared with frame-based or navigation-assisted techniques, ROSAⓇ-assisted SEEG electrode implantation provided significant benefits for reduction of both overall operative time (mean difference [MD], −63.45 min; 95% confidence interval [CI] from −88.73 to −38.17 min; P < 0.00001) and operative time per implanted electrode (MD, −8.79 min; 95% CI from −14.37 to −3.21 min; P = 0.002). No significant differences existed in perioperative complications and seizure outcomes after the application of the ROSAⓇ device and other techniques for electrode implantation. To conclude, the available evidence shows that the ROSAⓇ device is an effective and safe surgical tool for trajectory-guided SEEG electrode implantation in patients with drug-resistant epilepsy, offering benefits for saving operative time and neither increasing the risk of perioperative complications nor negatively impacting seizure outcomes. |
| first_indexed | 2024-04-25T01:43:19Z |
| format | Article |
| id | doaj.art-901fd009c080465888a277e5bcd14b8c |
| institution | Directory Open Access Journal |
| issn | 1349-8029 |
| language | English |
| last_indexed | 2024-04-25T01:43:19Z |
| publishDate | 2024-02-01 |
| publisher | The Japan Neurosurgical Society |
| record_format | Article |
| series | Neurologia Medico-Chirurgica |
| spelling | doaj.art-901fd009c080465888a277e5bcd14b8c2024-03-08T00:46:57ZengThe Japan Neurosurgical SocietyNeurologia Medico-Chirurgica1349-80292024-02-01642718610.2176/jns-nmc.2023-01192023-0119Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysisAnukoon KAEWBORISUTSAKUL0Mikhail CHERNOV1Suguru YOKOSAKO2Yuichi KUBOTA3Neurological Surgery Unit, Division of Surgery, Faculty of Medicine, Prince of Songkla UniversityDepartment of Neurosurgery, Tokyo Women's Medical University Adachi Medical CenterDepartment of Neurosurgery, Tokyo Women's Medical University Adachi Medical CenterDepartment of Neurosurgery, Tokyo Women's Medical University Adachi Medical CenterThe aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSAⓇ) device (Zimmer Biomet; Warsaw, IN, USA) for stereoelectroencephalography (SEEG) electrode implantation in patients with drug-resistant epilepsy. Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was carried out. Overall, 855 nonduplicate relevant articles were determined, and 15 of them were selected for analysis. The benefits of the ROSAⓇ device use in terms of electrode placement accuracy, as well as operative time length, perioperative complications, and seizure outcomes, were evaluated. Studies that were included reported on a total of 11,257 SEEG electrode implantations. The limited number of comparative studies hindered the comprehensive evaluation of the electrode implantation accuracy. Compared with frame-based or navigation-assisted techniques, ROSAⓇ-assisted SEEG electrode implantation provided significant benefits for reduction of both overall operative time (mean difference [MD], −63.45 min; 95% confidence interval [CI] from −88.73 to −38.17 min; P < 0.00001) and operative time per implanted electrode (MD, −8.79 min; 95% CI from −14.37 to −3.21 min; P = 0.002). No significant differences existed in perioperative complications and seizure outcomes after the application of the ROSAⓇ device and other techniques for electrode implantation. To conclude, the available evidence shows that the ROSAⓇ device is an effective and safe surgical tool for trajectory-guided SEEG electrode implantation in patients with drug-resistant epilepsy, offering benefits for saving operative time and neither increasing the risk of perioperative complications nor negatively impacting seizure outcomes.https://www.jstage.jst.go.jp/article/nmc/64/2/64_2023-0119/_pdf/-char/enepilepsystereoelectroencephalographydepth electrode implantationrobotic stereotactic assistance (rosaⓡ)efficacy |
| spellingShingle | Anukoon KAEWBORISUTSAKUL Mikhail CHERNOV Suguru YOKOSAKO Yuichi KUBOTA Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis Neurologia Medico-Chirurgica epilepsy stereoelectroencephalography depth electrode implantation robotic stereotactic assistance (rosaⓡ) efficacy |
| title | Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis |
| title_full | Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis |
| title_fullStr | Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis |
| title_full_unstemmed | Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis |
| title_short | Usefulness of Robotic Stereotactic Assistance (ROSAⓇ) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis |
| title_sort | usefulness of robotic stereotactic assistance rosaⓡ device for stereoelectroencephalography electrode implantation a systematic review and meta analysis |
| topic | epilepsy stereoelectroencephalography depth electrode implantation robotic stereotactic assistance (rosaⓡ) efficacy |
| url | https://www.jstage.jst.go.jp/article/nmc/64/2/64_2023-0119/_pdf/-char/en |
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