机器人辅助与基于框架的手动立体定向脑电图

Robot-assisted versus manual frame-based stereoelectroencephalography.

作者信息

Abdallat Mahmoud, Joswig Holger, Nazer Abdulrahman R, Hammouri Muhammad, Parrent Andrew G, MacDougall Keith W, Burneo Jorge G, Steven David A

机构信息

1Department of Neurosurgery, University of Jordan, Amman, Jordan.

2Department of Neurosurgery, Ernst von Bergmann Hospital, HMU Health and Medical University Potsdam, Germany.

出版信息

J Neurosurg. 2025 Apr 25;143(3):748-754. doi: 10.3171/2025.1.JNS241118. Print 2025 Sep 1.

DOI:10.3171/2025.1.JNS241118

PMID:40279705

Abstract

OBJECTIVE

The aim of this study was to retrospectively compare robot-assisted and manual frame-based stereoelectroencephalography (SEEG) with respect to timing, complications, and outcomes in a high-volume epilepsy surgery center.

METHODS

All patients with drug-resistant epilepsy who underwent SEEG from 2000 to 2020 were collected for a retrospective-and from 2017 onward, prospective-database.

RESULTS

A total of 192 SEEG procedures consisted of 88 robot-assisted and 104 manual frame-based cases. Both groups were of similar age, gender distribution, and duration of epilepsy. A mean of 10.9 electrodes were implanted for the robot-assisted group versus 9.3 electrodes in the manual frame-based group (p < 0.01) with a mean implantation time per electrode of 8.2 ± 3.4 versus 16.1 ± 7.7 minutes, respectively (p < 0.01). Complications were low in both groups; intracranial hemorrhage was observed in 6.8% and 5.8%, respectively.

CONCLUSIONS

Using a stereotactic robot for SEEG electrode insertion can significantly decrease operative time.

摘要

目的

本研究旨在回顾性比较在一个大容量癫痫手术中心，机器人辅助和基于手动框架的立体定向脑电图（SEEG）在时间、并发症及结果方面的差异。

方法

收集2000年至2020年期间所有接受SEEG的药物难治性癫痫患者，建立回顾性数据库，并从2017年起建立前瞻性数据库。

结果

总共192例SEEG手术，其中88例为机器人辅助，104例为基于手动框架。两组患者年龄、性别分布及癫痫病程相似。机器人辅助组平均植入10.9根电极，基于手动框架组平均植入9.3根电极（p<0.01），每根电极的平均植入时间分别为8.2±3.4分钟和16.1±7.7分钟（p<0.01）。两组并发症发生率均较低；颅内出血分别为6.8%和5.8%。