020 Robotics in Neurosurgery: Neuromodulatory Surgeries for Epilepsy and Beyond

Supported by an educational grant from LivaNova, Medtronic, Monteris Medical, Inc., NeuroPace and Zimmer Biomet

Saturday, April 13
1:00 pm - 5:00 pm
Location: 32AB; SDCC

Fee: $650
Advanced Practice Provider Fee: $455
Candidate and Medical Student Fee: $65

Director(s): Jorge Alvaro Gonzalez-Martinez, MD, PhD

Faculty: Andrew W. Grande, MD, FAANS; Gerald A. Grant, MD, FAANS; Robert E. Gross, MD, PhD, FAANS; Steven G. Ojemann, MD, FAANS; Jon T. Willie, MD, PhD, FAANS

Robotic assisted surgery has been performed for more than many years in different areas as cardiac and general surgery. More recently, advances in microsurgical techniques and surgical instruments, minimally invasive surgery, surgical navigation technology, digitized imaging modalities, increased computational power, and improvements in mechanical and electrical engineering have resulted in the incorporation of robotics into the field of neurosurgery. The debut of robotic neurosurgery was reported by Kwoh and colleagues in 1985. The authors employed an industrial robot for holding and modifying the trajectory of biopsy cannulae. Despite the introduction of robots in neurosurgery more than 25 years ago, the routine use of robots has yet to gain prominence in neurosurgery. Overall, limited number of published manuscripts regarding robot assisted cranial surgery is available in the literature. This is in contrast to other surgical fields in which the robot has gained ‘clinical traction’, including published studies on robot assisted surgical training. From their experience, robot assisted surgery has been shown to reduce learning curve compare to laparoscopic surgery. This practical hands-on course is designed to demonstrate the basic applications of robotic surgery in the field of epilepsy surgery and functional neurosurgery, exposing practical technical nuances, advantages and limitations related to the technology.

Learning Objectives: After completing this educational activity, participants should be able to:

  • Illustrate, through examples, several applications robotic surgery in the field of neuromodulation, epilepsy surgery and functional neurosurgery. More specifically, robotic techniques applied to SEEG, RNS, Laser Ablation, DBS and other applications.
  • Compare the application of robotic surgery with conventional stereotactic surgery.
  • Discuss the several advantages and limitations of robotic neurosurgery, including technical challenges and practical solutions.