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Background: Stereotactic approaches to diffuse intrinsic pontine gliomas (DIPGs) remain essential due to advances in molecular biology and management, necessitating tissue sampling. Here we present an effective technique with a biopsy by robot-assisted transcerebellar approach.
Method: Our procedure was performed using the ROSA robotic system and the OARM CT scan, which provided stereotactic conditions for this transcerebellar approach to brainstem lesions.
Conclusion: The robot-assisted transcerebellar stereotactic approach remains essential to provide complications for biopsy of brainstem lesions.
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| http://dx.doi.org/10.1007/s00701-024-06280-y | DOI Listing |
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How i do it: Robot-assisted transcerebellar stereotactic approach for brainstem lesion.
Acta Neurochir (Wien)
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Department of Neurosurgery, Rouen University Hospital, Rouen, France.
Background: Stereotactic approaches to diffuse intrinsic pontine gliomas (DIPGs) remain essential due to advances in molecular biology and management, necessitating tissue sampling. Here we present an effective technique with a biopsy by robot-assisted transcerebellar approach.
Method: Our procedure was performed using the ROSA robotic system and the OARM CT scan, which provided stereotactic conditions for this transcerebellar approach to brainstem lesions.
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Purpose: During the last decade, there has been renewed interest in stereotactic approaches to diffuse intrinsic pontine gliomas (DIPGs) in children, due to the development of new concepts in molecular biology and management, and subsequent need for tissue sampling. Stereotactic frame-based and robot-assisted techniques are associated with reduced target error and have been incorporated into standard practice at our institution.
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Neurosurgery Department, CHU-Lille, Roger Salengro Hospital, 1, rue Emile Laine, 59000, Lille, France.
Purpose: Targeted treatment for brainstem lesions requires above all a precise histopathological and molecular diagnosis. In the current technological era, robot-assisted stereotactic biopsies represent an accurate and safe procedure for tissue diagnosis. We present our center's experience in frameless robot-assisted biopsies for brainstem lesions.
View Article and Find Full Text PDFRediscovery of the transcerebellar approach: improving the risk-benefit ratio in robot-assisted brainstem biopsies.
Neurosurg Focus
January 2022
1Neurosurgical Clinic, Department of Neurosurgery and Neurotechnology, Eberhard Karls University, Tuebingen.
Objective: Conventional frame-based stereotaxy through a transfrontal approach (TFA) is the gold standard in brainstem biopsies. Because of the high surgical morbidity and limited impact on therapy, brainstem biopsies are controversial. The introduction of robot-assisted stereotaxy potentially improves the risk-benefit ratio by simplifying a transcerebellar approach (TCA).
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