Skip to main content

Integration of a Surgical Robotic Co-worker in an Endoscopic Neurosurgical Assistance Platform

  • Conference paper
  • First Online:
Robot 2019: Fourth Iberian Robotics Conference (ROBOT 2019)

Abstract

Endonasal Endoscopic Approach (EEA) is a minimally invasive technique for interventions in the skull base in which specific surgical tools and an endoscope are introduced directly through the nose and sinuses. This approach avoids scars in the patients face and reduces the recovering time compared with other techniques. However, it requires expertise and high accuracy movements, since in the operating area there are critical anatomical structures as well as displacements of the brain matter due to the change of the internal pressure during the craniotomy (brain-shift). The CRANEEAL proposal addresses the problem of developing a co-worker robotic system for minimally invasive neurosurgery, under a learning cognitive scheme. The system will provide assistance to the neurosurgeon with automatic, collaborative or shared-control behaviors, as well as providing an augmented reality environment. In this contribution we present the project fundamentals, with special detail in the functional and integration aspects of the surgical co-worker robot that provides autonomous assistance to the surgeon during the intervention.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Nogueira, J.F., Stamm, A., Vellutini, E.: Evolution of endoscopic skull base surgery, current concepts, and future perspectives. Otolaryngol. Clin. North Am. 43(3), 639–652 (2010)

    Article  Google Scholar 

  2. Burgner, J., Rucker, D.C., Gilbert, H.B., Swaney, P.J., Russell, P.T., Weaver, K.D., et al.: A telerobotic system for transnasal surgery. IEEE/ASME Trans. Mechatronics 19(3), 996–1006 (2014)

    Article  Google Scholar 

  3. Dubey, S.P., Munjal, V.R.: Endoscopic endonasal transsphenoidal hypophysectomy: two hand versus four hand technique: our experience. Indian J. Otolaryngol. Head Neck Surg. 66(3), 287–290 (2014)

    Article  Google Scholar 

  4. Chalongwongse, S., Chumnanvej, S., Suthakorn, J.: Analyzation of Endonasal Endoscopic Transsphenoidal (EET) surgery pathway and workspace for path guiding robot design. Asian J. Surg. 42, 814–822 (2019)

    Article  Google Scholar 

  5. Camarillo, D.B., Milne, C.F., Carlson, C.R., Zinn, M.R., Salisbury, J.K.: Mechanics modeling of tendon-driven continuum manipulators. IEEE Trans. Robot. 24(6), 1262–1273 (2008)

    Article  Google Scholar 

  6. Piccigallo, M., Scarfogliero, U., Quaglia, C., Petroni, G., Valdastri, P., Menciassi, A., et al.: Design of a novel bimanual robotic system for single-port laparoscopy. IEEE/ASME Trans. Mechatronics 15(6), 871–878 (2010)

    Google Scholar 

  7. Escobar, P.F., Kebria, M., Falcone, T.: Evaluation of a novel single-port robotic platform in the cadaver model for the performance of various procedures in gynecologic oncology. Gynecol. Oncol. 120(3), 380–384 (2011)

    Article  Google Scholar 

  8. Minjares-Granillo, R.O., Dimas, B.A., LeFave, J.P.J., Haas, E.M.: Robotic left-sided colorectal resection with natural orifice IntraCorporeal anastomosis with extraction of specimen: The NICE procedure. Am. J. Surg. 217(4), 670–676 (2019)

    Article  Google Scholar 

  9. Xia, T., Baird, C., Jallo, G., Hayes, K., Nakajima, N., Hata, N., et al.: An integrated system for planning, navigation and robotic assistance for skull base surgery. Int. J. Med. Robot. 4(4), 321–330 (2008)

    Article  Google Scholar 

  10. Nimsky, C., Rachinger, J., Iro, H., Fahlbusch, R.: Adaptation of a hexapod-based robotic system for extended endoscope-assisted transsphenoidal skull base surgery. min – Minim. Invasive Neurosurg. 47(1), 41–46 (2004)

    Google Scholar 

  11. Eichhorn, K.W.G., Bootz, F.: Clinical requirements and possible applications of robot assisted endoscopy in skull base and sinus surgery. In: Intraoperative Imaging, pp. 237–240. Springer, Vienna (2011)

    Google Scholar 

  12. Schneider, J.S., et al.: Robotic surgery for the sinuses and skull base: what are the possibilities and what are the obstacles? Curr. Opin. Otolaryngol. Head Neck Surg. 21(1), 11–16 (2013)

    Article  Google Scholar 

  13. Chumnanveg, S., Suthakorn, J.: Workspace based design proposal for surgical robot with endoscopic endonasal transsphenoidal approach. In: Proceedings of the CRIT 2012, pp. 79–81 (2012)

    Google Scholar 

  14. Shamir, R.R., et al.: Reduced risk trajectory planning in image-guided keyhole neurosurgery. Med. Phys. 39(5), 2885–2895 (2012)

    Article  Google Scholar 

  15. Paraskevopoulos, D., Roth, J., Constantini, S.: Endoscope holders in cranial neurosurgery: part I—technology, trends, and implications. World Neurosurg. 89, 343–354 (2016)

    Article  Google Scholar 

  16. Villaret, A.B., Doglietto, F., Carobbio, A., Schreiber, A., Panni, C., Piantoni, E., Guida, G., Fontanella, M.M., Nicolai, P., Cassinis, R.: Robotic transnasal endoscopic skull base surgery: systematic review of the literature and report of a novel prototype for a hybrid system (Brescia Endoscope Assistant Robotic Holder). World Neurosurg. 105, 875–883 (2017)

    Google Scholar 

  17. Quigley, M., Conley, K., Gerkey, B., Faust, J., Foote, T., et al.: ROS: an open-source Robot Operating System. In: ICRA Workshop on Open Source Software, vol. 3, no. 2, p. 5 (2009)

    Google Scholar 

Download references

Acknowledgments

This work has been partially supported by the Spanish Ministry of Economy and Competitiveness under project DPI2016-80391-R.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Javier P. Turiel .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

García, Á.M. et al. (2020). Integration of a Surgical Robotic Co-worker in an Endoscopic Neurosurgical Assistance Platform. In: Silva, M., Luís Lima, J., Reis, L., Sanfeliu, A., Tardioli, D. (eds) Robot 2019: Fourth Iberian Robotics Conference. ROBOT 2019. Advances in Intelligent Systems and Computing, vol 1093. Springer, Cham. https://doi.org/10.1007/978-3-030-36150-1_37

Download citation

Publish with us

Policies and ethics