Jingjiang is the first county-level medical institution in the province to successfully carry out robot-assisted DBS surgery

Yangzi Evening News, May 16 (Correspondents Zhang Yuan, Zheng Yujie, Reporter Wang Guozhu) Recently, the Neurosurgery Department of Jingjiang People’s Hospital successfully used a surgical robot to perform deep brain stimulation (DBS) on a patient with Parkinson’s disease. According to reports, this is the first robot-assisted DBS surgery in Taizhou, and the first time such surgery has been performed by a county-level medical institution in Jiangsu Province.

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75-year-old Ms. Zhu has been suffering from Parkinson's disease for 18 years. Over the years, she has developed from inflexibility of her right lower limb and slight vibrations in her feet to vibrations in her upper limbs and neck, stiff limbs, and a stiff and slow gait. . The types and dosages of oral drugs are constantly increasing, but the efficacy is not as good as each year. For the past year, Ms. Zhu has been walking slowly and falling at any time, so she has to rely on a wheelchair to get around. In order to improve the quality of life, Ms. Zhu recently went to the Neurosurgery Department of Jingjiang People's Hospital accompanied by her family. After preliminary consultation and evaluation by a Parkinson's disease multidisciplinary consultation team composed of neurosurgery, neurology, radiology, and anesthesiology departments, Ms. Zhu was deemed Meet the indications for DBS surgery.

It is currently understood that DBS surgery can use traditional stereotaxic frame technology or the most advanced robot-assisted technology in the world. The latter method was chosen for this operation, which is the first of its kind in Taizhou and county-level medical institutions in the province. Before the operation, the neurosurgery team completed brain CT and magnetic resonance (MR) positioning scans for Ms. Zhu, and used fusion technology to accurately locate the puncture target. For DBS surgery, surgical positioning must be accurate to millimeters. The patient underwent approximately 3 hours of surgery, during which the treatment electrode was successfully implanted, and the precise placement of the electrode was confirmed through intraoperative electrophysiological testing and postoperative CT.

"Compared with traditional surgery, the error of the traditional surgical target is within 2mm. Robot-assisted surgery can control the error to about 0.5mm and save surgery time. Therefore, robot-assisted DBS surgery is more accurate and The efficiency has been greatly improved." Pan Enyu, deputy director of the neurosurgery department and chief physician of the hospital, said that the patient was discharged home after 3 days of hospitalization, and returned to the hospital about a month later to receive the brain electrical stimulator to be turned on. Patients' quality of life will significantly improve as their symptoms such as limb stiffness and tremors will be relieved after switching on the machine.

The use of neurosurgery robots in clinical applications can simultaneously improve surgical positioning accuracy, shorten operation time, and reduce complications. "Pan Enyu said that when Parkinson's disease develops to the middle and late stages or when obvious side effects of Parkinson's drugs appear, DBS surgery is the preferred treatment method. Robot-assisted DBS surgery will benefit more Parkinson's patients in the future.

Proofreading by Faye Wong

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