Background The Ommaya reservoir implantation technique allows for bypass of the blood-brain barrier. It can be continuously administered locally and be used to repeatedly flush the intracranial cavity to achieve the purpose of treatment. Accurate, fast, and minimally invasive placement of the drainage tube is essential during the Ommaya reservoir implantation technique, which can be achieved with the assistance of robots. Methods We retrospectively analyzed a total of 100 patients undergoing Ommaya reservoir implantation, of which 50 were implanted using a robot, and the remaining 50 were implanted using conventional surgical methods. We then compared the data related to surgery between the two groups and calculated the accuracy of the drainage tube of the robot-assisted group. Results The average operation time of robot-assisted surgery groups was 41.17 ± 11.09 min, the bone hole diameter was 4.1 ± 0.5 mm, the intraoperative blood loss was 11.1 ± 3.08 ml, and the average hospitalization time was 3.9 ± 1.2 days. All of the Ommaya reservoirs were successful in one pass, and there were no complications such as infection or incorrect placement of the tube. In the conventional Ommaya reservoir implantation group, the average operation time was 65 ± 14.32 min, the bone hole diameter was 11.3 ± 0.3 mm, the intraoperative blood loss was 19.9 ± 3.98 ml，and the average hospitalization time was 4.1 ± 0.5 days. In the robot-assisted surgery group, the radial error was 2.14 ± 0.99 mm and the axial error was 1.69 ± 1.24 mm. Conclusions Robot-assisted stereotactic Ommaya reservoir implantation is quick, effective, and minimally invasive. The technique effectively negates the inefficiencies of craniotomy and provides a novel treatment for intracranial lesions.

中文翻译：

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神经外科机器人在颅内Ommaya储层植入中的临床应用

背景技术Ommaya储库植入技术可绕过血脑屏障。它可以局部连续给药，并用于反复冲洗颅腔以达到治疗目的。在Ommaya水库植入技术期间，准确，快速且微创的引流管放置至关重要，这可以借助机器人来实现。方法我们回顾性分析了100例接受Ommaya储液器植入的患者，其中50例使用机器人植入，其余50例使用常规手术方法植入。然后，我们比较了两组之间与手术有关的数据，并计算了机器人辅助组引流管的准确性。结果机器人辅助手术组平均手术时间为41.17±11.09 min，骨孔直径为4.1±0.5 mm，术中失血量为11.1±3.08 ml，平均住院时间为3.9±1.2天。所有的Ommaya油藏都可以一口气获得成功，并且没有诸如感染或错误放置试管之类的并发症。在常规的Ommaya储库植入组中，平均手术时间为65±14.32 min，骨孔直径为11.3±0.3 mm，术中失血量为19.9±3.98 ml，平均住院时间为4.1±0.5天。在机器人辅助手术组中，径向误差为2.14±0.99 mm，轴向误差为1.69±1.24 mm。结论机器人辅助的立体定向Ommaya储液器植入快速，有效，和微创。该技术有效地消除了开颅手术的低效率，并为颅内病变提供了一种新颖的治疗方法。