Gravino Gilbert
Consultant Neuroradiologist (Interventional and Diagnostics), The Walton Centre NHS Foundation Trust, Liverpool, UK.
Interv Neuroradiol. 2025 Mar 18:15910199241304851. doi: 10.1177/15910199241304851.
Traditionally, both visual and haptic feedback have been regarded as elementary aspects of endovascular neurosurgical intervention. The literature acknowledges that the lack of haptic feedback and the reliance on visual feedback alone in robotic endovascular neurosurgical intervention (RENI) is a limitation. However, several operators who are at the forefront of applying this technology appear to have become quickly accustomed to visual feedback alone. Some have explained their initial scepticism, but upon using the technology they eventually saw the lack of haptic feedback as less of an obstacle and started to regard visual feedback alone as a feasible and safe means to perform procedures. Therefore, this begs the question as to whether haptic feedback is in effect a necessity or a commodity. In this commentary, several considerations are made, presenting arguments supporting the idea that haptic feedback may not be an absolute necessity, and their potential counterarguments. Such reflection and discussion on the topic of haptic feedback in RENI is timely and presently warranted to guide its research and development.
传统上，视觉反馈和触觉反馈都被视为血管内神经外科手术干预的基本要素。文献承认，在机器人血管内神经外科手术干预（RENI）中缺乏触觉反馈以及仅依赖视觉反馈是一个局限性。然而，几位处于应用该技术前沿的操作者似乎很快就习惯了仅依靠视觉反馈。一些人解释了他们最初的怀疑态度，但在使用该技术后，他们最终认为缺乏触觉反馈并不是那么大的障碍，并开始将仅依靠视觉反馈视为进行手术的一种可行且安全的方式。因此，这就引出了一个问题，即触觉反馈实际上是一种必需品还是一种可有可无的东西。在这篇评论中，我们进行了几点思考，提出了支持触觉反馈可能并非绝对必要这一观点及其潜在反驳观点的论据。对RENI中触觉反馈主题的这种反思和讨论是及时的，目前有必要以此来指导其研发工作。
