Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis
Objective:. The aim of this systematic review and meta-analysis is to identify current robotic assistance systems for percutaneous liver ablations, compare approaches, and determine how to achieve standardization of procedural concepts for optimized ablation outcomes. Background:. Image-guided surgi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-06-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000406 |
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| author | Ana K. Uribe Rivera, MD Barbara Seeliger, MD, PhD Laurent Goffin, MSc Alain García-Vázquez, MD Didier Mutter, MD, PhD Mariano E. Giménez, MD, PhD |
| author_facet | Ana K. Uribe Rivera, MD Barbara Seeliger, MD, PhD Laurent Goffin, MSc Alain García-Vázquez, MD Didier Mutter, MD, PhD Mariano E. Giménez, MD, PhD |
| author_sort | Ana K. Uribe Rivera, MD |
| collection | DOAJ |
| description | Objective:. The aim of this systematic review and meta-analysis is to identify current robotic assistance systems for percutaneous liver ablations, compare approaches, and determine how to achieve standardization of procedural concepts for optimized ablation outcomes.
Background:. Image-guided surgical approaches are increasingly common. Assistance by navigation and robotic systems allows to optimize procedural accuracy, with the aim to consistently obtain adequate ablation volumes.
Methods:. Several databases (PubMed/MEDLINE, ProQuest, Science Direct, Research Rabbit, and IEEE Xplore) were systematically searched for robotic preclinical and clinical percutaneous liver ablation studies, and relevant original manuscripts were included according to the Preferred Reporting items for Systematic Reviews and Meta-Analyses guidelines. The endpoints were the type of device, insertion technique (freehand or robotic), planning, execution, and confirmation of the procedure. A meta-analysis was performed, including comparative studies of freehand and robotic techniques in terms of radiation dose, accuracy, and Euclidean error.
Results:. The inclusion criteria were met by 33/755 studies. There were 24 robotic devices reported for percutaneous liver surgery. The most used were the MAXIO robot (8/33; 24.2%), Zerobot, and AcuBot (each 2/33, 6.1%). The most common tracking system was optical (25/33, 75.8%). In the meta-analysis, the robotic approach was superior to the freehand technique in terms of individual radiation (0.5582, 95% confidence interval [CI] = 0.0167–1.0996, dose-length product range 79–2216 mGy.cm), accuracy (0.6260, 95% CI = 0.1423–1.1097), and Euclidean error (0.8189, 95% CI = –0.1020 to 1.7399).
Conclusions:. Robotic assistance in percutaneous ablation for liver tumors achieves superior results and reduces errors compared with manual applicator insertion. Standardization of concepts and reporting is necessary and suggested to facilitate the comparison of the different parameters used to measure liver ablation results. The increasing use of image-guided surgery has encouraged robotic assistance for percutaneous liver ablations. This systematic review analyzed 33 studies and identified 24 robotic devices, with optical tracking prevailing. The meta-analysis favored robotic assessment, showing increased accuracy and reduced errors compared with freehand technique, emphasizing the need for conceptual standardization. |
| format | Article |
| id | doaj-art-a712dc48d0f445b0bec1b64024744125 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-a712dc48d0f445b0bec1b640247441252025-01-24T09:18:39ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-06-0152e40610.1097/AS9.0000000000000406202406000-00004Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-AnalysisAna K. Uribe Rivera, MD0Barbara Seeliger, MD, PhD1Laurent Goffin, MSc2Alain García-Vázquez, MD3Didier Mutter, MD, PhD4Mariano E. Giménez, MD, PhD5From the * IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, FranceFrom the * IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France§ ICube, UMR 7357 CNRS, INSERM U1328 RODIN, University of Strasbourg, Strasbourg, FranceFrom the * IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, FranceFrom the * IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, FranceFrom the * IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, FranceObjective:. The aim of this systematic review and meta-analysis is to identify current robotic assistance systems for percutaneous liver ablations, compare approaches, and determine how to achieve standardization of procedural concepts for optimized ablation outcomes. Background:. Image-guided surgical approaches are increasingly common. Assistance by navigation and robotic systems allows to optimize procedural accuracy, with the aim to consistently obtain adequate ablation volumes. Methods:. Several databases (PubMed/MEDLINE, ProQuest, Science Direct, Research Rabbit, and IEEE Xplore) were systematically searched for robotic preclinical and clinical percutaneous liver ablation studies, and relevant original manuscripts were included according to the Preferred Reporting items for Systematic Reviews and Meta-Analyses guidelines. The endpoints were the type of device, insertion technique (freehand or robotic), planning, execution, and confirmation of the procedure. A meta-analysis was performed, including comparative studies of freehand and robotic techniques in terms of radiation dose, accuracy, and Euclidean error. Results:. The inclusion criteria were met by 33/755 studies. There were 24 robotic devices reported for percutaneous liver surgery. The most used were the MAXIO robot (8/33; 24.2%), Zerobot, and AcuBot (each 2/33, 6.1%). The most common tracking system was optical (25/33, 75.8%). In the meta-analysis, the robotic approach was superior to the freehand technique in terms of individual radiation (0.5582, 95% confidence interval [CI] = 0.0167–1.0996, dose-length product range 79–2216 mGy.cm), accuracy (0.6260, 95% CI = 0.1423–1.1097), and Euclidean error (0.8189, 95% CI = –0.1020 to 1.7399). Conclusions:. Robotic assistance in percutaneous ablation for liver tumors achieves superior results and reduces errors compared with manual applicator insertion. Standardization of concepts and reporting is necessary and suggested to facilitate the comparison of the different parameters used to measure liver ablation results. The increasing use of image-guided surgery has encouraged robotic assistance for percutaneous liver ablations. This systematic review analyzed 33 studies and identified 24 robotic devices, with optical tracking prevailing. The meta-analysis favored robotic assessment, showing increased accuracy and reduced errors compared with freehand technique, emphasizing the need for conceptual standardization.http://journals.lww.com/10.1097/AS9.0000000000000406 |
| spellingShingle | Ana K. Uribe Rivera, MD Barbara Seeliger, MD, PhD Laurent Goffin, MSc Alain García-Vázquez, MD Didier Mutter, MD, PhD Mariano E. Giménez, MD, PhD Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis Annals of Surgery Open |
| title | Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis |
| title_full | Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis |
| title_fullStr | Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis |
| title_short | Robotic Assistance in Percutaneous Liver Ablation Therapies: A Systematic Review and Meta-Analysis |
| title_sort | robotic assistance in percutaneous liver ablation therapies a systematic review and meta analysis |
| url | http://journals.lww.com/10.1097/AS9.0000000000000406 |
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