Assessment of Deep Brain Stimulation Implantation Surgery: A Practical Scale

Gong, Shusheng; Tao, Yingqun; Jin, Hai; Sun, Xiao; Liu, Yang; Wang, Shimiao; Xu, Menting; Yang, Xiaotao; Wang, Yu; Yuan, Lijia; Song, Weilong

doi:10.1016/j.wneu.2019.11.117

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…The robot system may be able to keep a better level of precision and accuracy for lead implantations than the frame-based system, but only with long-term, thoughtful and dependable maintenance (Mei et al, 2022). DBS robot-assisted surgery achieves high precision by the implementation of a redesigned registration process, intraoperative registration, and simulated target verification (Xu et al, 2018;Gong et al, 2020;Jin et al, 2020).…”

Section: Figurementioning

confidence: 99%

“…With their precise, repeatable, and predefined pathways, robots can safely navigate around obstacles and avoid harming neighboring structures (Davies, 2000). Recent years have seen a rise in the use of robot-assisted procedures for DBS, first in Europe (Lefranc and Le Gars, 2012;, then in Asia (Lefranc and Le Gars, 2012;Liu et al, 2020), and most recently in the US (Vadera et al, 2017;Faraji et al, 2020). Numerous facilities have begun incorporating robotic systems like ROSA (Zimmer Biomet Inc.) and neuromate (Renishaw plc) into their workflow due to the high levels of accuracy and reproducibility that these systems provide (Lefranc and Le Gars, 2012;Liu et al, 2020;.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and safety of robot-assisted deep brain stimulation for Parkinson’s disease: a meta-analysis

Huang,

Meng,

et al. 2024

Front. Aging Neurosci.

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ObjectiveThis meta-analysis aims to assess the effectiveness and safety of robot-assisted deep brain stimulation (DBS) surgery for Parkinson’s disease(PD).MethodsFour databases (Medline, Embase, Web of Science and CENTRAL) were searched from establishment of database to 23 March 2024, for articles studying robot-assisted DBS in patients diagnosed with PD. Meta-analyses of vector error, complication rate, levodopa-equivalent daily dose (LEDD), Unified Parkinson’s Disease Rating Scale (UPDRS), UPDRS II, UPDRS III, and UPDRS IV were performed.ResultsA total of 15 studies were included in this meta-analysis, comprising 732 patients with PD who received robot-assisted DBS. The pooled results revealed that the vector error was measured at 1.09 mm (95% CI: 0.87 to 1.30) in patients with Parkinson’s disease who received robot-assisted DBS. The complication rate was 0.12 (95% CI, 0.03 to 0.24). The reduction in LEDD was 422.31 mg (95% CI: 68.69 to 775.94). The improvement in UPDRS, UPDRS III, and UPDRS IV was 27.36 (95% CI: 8.57 to 46.15), 14.09 (95% CI: 4.67 to 23.52), and 3.54 (95% CI: −2.35 to 9.43), respectively.ConclusionRobot-assisted DBS is a reliable and safe approach for treating PD. Robot-assisted DBS provides enhanced accuracy in contrast to conventional frame-based stereotactic techniques. Nevertheless, further investigation is necessary to validate the advantages of robot-assisted DBS in terms of enhancing motor function and decreasing the need for antiparkinsonian medications, in comparison to traditional frame-based stereotactic techniques.Clinical trial registration: PROSPERO(CRD42024529976).

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Section: Figurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of robot-assisted deep brain stimulation for Parkinson’s disease: a meta-analysis

Huang,

Meng,

et al. 2024

Front. Aging Neurosci.

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A Modified Power-on Programming Method after Deep Brain Stimulation for Parkinson Disease

et al. 2022

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A comparative study of asleep and awake deep brain stimulation robot-assisted surgery for Parkinson’s disease

Jin

Gong

Tao

et al. 2020

npj Parkinsons Dis.

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To compare the differences between asleep and awake robot-assisted deep brain stimulation (DBS) surgery for Parkinson’s Disease (PD), we conducted this retrospective cohort study included 153 PD patients undergoing bilateral robot-assisted DBS from June 2017 to August 2019, of which 58 cases were performed under general anesthesia (GA) and 95 cases under local anesthesia (LA). Procedure duration, stimulation parameters, electrode implantation accuracy, intracranial air, intraoperative electrophysiological signal length, complications, and Unified PD Rating Scale (UPDRS) measurements were recorded and compared. The clinical evaluation was conducted by two raters who were blinded to the choice of anesthesia. Procedure duration was significantly shorter in the GA group, while on stimulation off medication motor scores (UPDRS-III) were significantly improved in both the GA and LA group. ANCOVA covariated for the baseline UPDRS-III and levodopa challenge exhibited no significant differences. In terms of amplitude, frequency, and pulse width, the stimulation parameters used for DBS power-on were similar. There were no significant differences in electrode implantation accuracy, intraoperative electrophysiological signal length, or intracerebral hemorrhage (no occurrences in either group). The pneumocephalus volume was significantly smaller in the GA group. Six patients exhibited transient throat discomfort associated with tracheal intubation in the GA group. The occurrence of surgical incision infection was similar in both groups. Compared with the awake group, the asleep group exhibited a shorter procedure duration with a similar electrode implantation accuracy and short-term motor improvement. Robot-assisted asleep DBS surgery is a promising surgical method for PD.

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Assessment of Deep Brain Stimulation Implantation Surgery: A Practical Scale

Cited by 4 publications

References 22 publications

Efficacy and safety of robot-assisted deep brain stimulation for Parkinson’s disease: a meta-analysis

Efficacy and safety of robot-assisted deep brain stimulation for Parkinson’s disease: a meta-analysis

A Modified Power-on Programming Method after Deep Brain Stimulation for Parkinson Disease

A comparative study of asleep and awake deep brain stimulation robot-assisted surgery for Parkinson’s disease

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