Usefulness of Robotic Stereotactic Assistance (ROSA®) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis
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...
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| Published in: | Neurologia Medico-Chirurgica Vol. 64; no. 2; pp. 71 - 86 |
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The Japan Neurosurgical Society
15-02-2024
THE JAPAN NEUROSURGICAL SOCIETY Japan Science and Technology Agency |
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| Abstract | 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. |
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| AbstractList | 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. [Abstract] The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSA(R)) 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(R) 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(R)-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(R) device and other techniques for electrode implantation. To conclude, the available evidence shows that the ROSA(R) 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. 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. 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. 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. |
| ArticleNumber | 2023-0119 |
| Author | YOKOSAKO, Suguru KAEWBORISUTSAKUL, Anukoon CHERNOV, Mikhail KUBOTA, Yuichi |
| Author_xml | – sequence: 1 fullname: KAEWBORISUTSAKUL, Anukoon organization: Neurological Surgery Unit, Division of Surgery, Faculty of Medicine, Prince of Songkla University – sequence: 2 fullname: CHERNOV, Mikhail organization: Department of Neurosurgery, Tokyo Women's Medical University Adachi Medical Center – sequence: 3 fullname: YOKOSAKO, Suguru organization: Department of Neurosurgery, Tokyo Women's Medical University Adachi Medical Center – sequence: 4 fullname: KUBOTA, Yuichi organization: Department of Neurosurgery, Tokyo Women's Medical University Adachi Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38220166$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.wneu.2020.04.218 10.1212/WNL.0000000000003509 10.1007/s10143-020-01445-6 10.3171/2021.10.FOCUS21533 10.3171/2018.5.PEDS17718 10.1093/neuros/nyy466 10.1016/j.neuchi.2017.03.002 10.3171/2018.7.PEDS18305 10.1007/s00381-021-05107-w 10.3171/2018.7.JNS181164 10.1046/j.1445-2197.2003.02748.x 10.1227/NEU.0000000000001034 10.3171/2018.10.PEDS18227 10.1093/ons/opz281 10.1111/epi.13298 10.1038/s41598-021-96662-4 10.3171/2018.1.PEDS17435 10.3390/children7080094 10.1371/journal.pmed.1003583 10.1093/neuros/nyaa428 10.1093/neuros/nyx576 10.1016/j.eplepsyres.2019.106253 10.1159/000503831 10.1111/j.1528-1167.2012.03672.x 10.1227/NEU.0b013e31827d1161 10.1002/rcs.1888 10.1093/ons/opab217 10.1111/epi.13713 10.3171/2022.5.JNS22804 10.1016/j.yebeh.2018.11.002 10.1111/epi.14596 10.3171/2017.2.FOCUS16579 10.1891/9780826136930.0001 10.1093/neuros/nyy261 10.1007/s11701-022-01504-8 10.3171/2020.5.JNS20975 10.3171/2020.10.JNS201843 10.1093/brain/124.9.1683 10.2176/jns-nmc.2022-0010 10.2176/jns-nmc.2022-0271 10.1016/j.neucli.2020.11.001 10.3171/2014.7.JNS132306 10.1111/epi.13515 10.1007/s10143-022-01908-y 10.21037/apm-20-2123 10.1093/neuros/nyz498 10.1002/epi4.12535 10.1001/jamaneurol.2019.0098 |
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| CorporateAuthor | Tokyo Women's Medical University Adachi Medical Center Neurological Surgery Unit Department of Neurosurgery Prince of Songkla University Faculty of Medicine Division of Surgery |
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| Keywords | epilepsy Robotic Stereotactic Assistance (ROSA®) stereoelectroencephalography depth electrode implantation efficacy |
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| Notes | Department of Neurosurgery, Tokyo Women's Medical University Adachi Medical Center, 4-33-1 Kohoku, Adachi-ku, Tokyo 123-8558, Japan. e-mail: Kubota.Yuichi@twmu.ac.jp Corresponding author: Yuichi Kubota, M.D., Ph.D. |
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| Snippet | The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSA®) device... [Abstract] The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSA(R))... The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSA ) device... The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSA Ⓡ ) device... The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSAⓇ) device... |
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| SubjectTerms | Convulsions & seizures depth electrode implantation Drug resistance Drug Resistant Epilepsy - surgery efficacy Electrodes Electrodes, Implanted Electroencephalography - methods Epilepsy Humans Meta-analysis Retrospective Studies Review Robotic Stereotactic Assistance (ROSA®) robotic stereotactic assistance (rosaⓡ) Robotic Surgical Procedures - methods Seizures stereoelectroencephalography Stereotaxic Techniques |
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| Title | Usefulness of Robotic Stereotactic Assistance (ROSA®) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis |
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