Editorial. Ethical nuances and medicolegal vulnerabilities in robotic neurosurgery

Vilanilam, George C; Venkat, Easwer Hariharan

doi:10.3171/2021.10.focus21533

Cited by 6 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…Strategies for minimizing the effects of the learning curve in concordance with ethical considerations must also be developed, specifically if the risk of adverse events and technical failures associated with the application of new techniques exceeds those in standard surgical approaches. 49) Moreover, notably, the cost of the ROSA Ⓡ device is high, making it hardly affordable for low-and middle-income countries. Additionally, maintenance of the device requires a strong supporting team, the service of which may also necessitate additional funding.…”

Section: Other Important Issuesmentioning

confidence: 99%

See 1 more Smart Citation

Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

KAEWBORISUTSAKUL,

CHERNOV,

YOKOSAKO

et al. 2024

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Other Important Issuesmentioning

confidence: 99%

Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

KAEWBORISUTSAKUL,

CHERNOV,

YOKOSAKO

et al. 2024

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…Social and economic effects showed the need to address healthcare access and outcomes inequities. Patients, healthcare professionals, lawmakers, and payers must work together to shape healthcare policies [25][26][27].…”

Section: Ethical Concerns and Robotics And Automation Technology In S...mentioning

confidence: 99%

The role of robotics and automation in surgery: critical review of current and emerging technologies

2023

FEM

View full text Add to dashboard Cite

This article focuses on “The role of robotics and automation in surgery a critical review of current and emerging technologies”. Aims: The aim of this study is to explore the role of robotics and automation in surgery as well as to accomplish a critical review of current and emerging technologies. Methodology: A descriptive, cross-sectional study design was used. Secondary data was collected from published studies and official citations. Descriptive statistics were obtained and utilised. Results: The results showed that general surgery procedures have been progressively adopting robotic surgery, and cholecystectomy being the most frequent procedure done. While the proportion of open surgery has reduced from 42.4% in 2012 to 32.4% in 2018, the use of robotic surgery has significantly increased from 1.8% in January 2012 to 15.1% in June 2018. The FDA-approved and pending robotic platforms and systems that were examined highlighted the developments in robotic surgery technology. High precision, smaller incisions, improved visibility, decreased surgeon fatigue, and the capacity to easily conduct difficult procedures are among benefits of robotic surgery. Additionally, it may result in fewer hospital stays, less blood loss, and better treatment outcomes. Though, robotic surgery is not without its drawbacks. These drawbacks include higher costs, a learning curve for surgeons, limited availability in some settings, technical difficulties, diminished tactile feedback, longer operating times, dependence on technology, and more setup and maintenance time and effort. Scientific Novelty: An analysis of current and emerging technologies, including robotics and automation in surgery. Conclusion: While robotic surgery has many benefits in terms of accuracy, a minimally invasive procedure, and better patient outcomes, there are also drawbacks and difficulties that must be taken into account for a responsible and successful deployment in surgical practice. To guarantee the safe and moral application of robotics and automation technology in surgery, more investigation, instruction, and regulation are required.

show abstract

“…This pertains to the medicolegal aspects of robotic surgery. The ethical and legal implications of its use have yet to be explored and understood, even by medical professionals using it [ 24 ]. We delve deep into the topic to understand what the current practices and regulations reveal.…”

Section: Introductionmentioning

confidence: 99%

In the Hands of a Robot, From the Operating Room to the Courtroom: The Medicolegal Considerations of Robotic Surgery

Pai,

Jeyaraman,

Jeyaraman

et al. 2023

Cureus

View full text Add to dashboard Cite

Robotic surgery has rapidly evolved as a groundbreaking field in medicine, revolutionizing surgical practices across various specialties. Despite its numerous benefits, the adoption of robotic surgery faces significant medicolegal challenges. This article delves into the underexplored legal implications of robotic surgery and identifies three distinct medicolegal problems. First, the lack of standardized training and credentialing for robotic surgery poses potential risks to patient safety and surgeon competence. Second, informed consent processes require additional considerations to ensure patients are fully aware of the technology's capabilities and potential risks. Finally, the issue of legal liability becomes complex due to the involvement of multiple stakeholders in the functioning of robotic systems. The article highlights the need for comprehensive guidelines, regulations, and training programs to navigate the medicolegal aspects of robotic surgery effectively, thereby unlocking its full potential for the future..

show abstract

Editorial. Ethical nuances and medicolegal vulnerabilities in robotic neurosurgery

Cited by 6 publications

References 18 publications

Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

The role of robotics and automation in surgery: critical review of current and emerging technologies

In the Hands of a Robot, From the Operating Room to the Courtroom: The Medicolegal Considerations of Robotic Surgery

Contact Info

Product

Resources

About