49th Annual Meeting of the AANS/CNS Section on Pediatric Neurological Surgery Archive-Comparison Of ROSA And Stealth AutoGuide Robot-Assisted SEEG Implantation

Comparison Of ROSA And Stealth AutoGuide Robot-Assisted SEEG Implantation - Robert Sickler III

Video Transcription

Video Summary

The video is a presentation by Robert Sickler, a second-year medical student at McGovern Medical School, comparing the ROSA and self-autoguide robot-assisted SAG (stereoencephalography) implantations. The research was supported by Children's Memorial Hermann Hospital in Houston, Texas. The study aimed to evaluate the safety and accuracy of these two systems within the same institution. The ROSA system showed decreased operative times without compromising safety or precision. Meanwhile, the self-autoguide system, though smaller and less rigid, also yielded high procedure accuracy without adverse effects. The study reviewed 22 sequential pediatric SAG implantations and found no difference in patient demographics between the two robot groups. Both robots were highly accurate, with no complications reported. However, autoguide procedures had significantly longer operative times and time per electrode compared to ROSA procedures. The sources of error included arm rigidity, human measurement error, and registration error, all of which were comparable between the two systems. Cost and simplicity of registration were highlighted as additional factors for consideration. Both robots were found to be safe and appropriate in guiding phase 3 surgeries, and further analysis may help determine the advantages of each system.

Keywords

ROSA

self-autoguide

SAG implantations

operative times

procedure accuracy