Work

Combined Robotic Stereotactic Assistance (ROSA) with intraoperative mobile CT for intracerebral hemorrhage aspiration: technical note and case series

Year: 2026

Type: article

Abstract: Objectives This study aims to present a novel technique combining robotic stereotactic assistance (ROSA) with intraoperative mobile CT (AIRO CT) for the aspiration of spontaneous intracerebral hemorrhage (ICH). Methods We present a case series of cases combining ROSA and AIRO CT for hematoma aspiration, with detailed procedural descriptions in basal ganglia and lobar ICH patients treated between 2024 and 2025. Results Twenty patients achieved satisfactory hematoma clearance confirmed by intraoperative AIRO CT. Two patients attained favorable neurological outcomes (modified Rankin Scale≤ 2), and four demonstrated intermediate recovery (mRS = 3), indicating partial functional improvement. One patient expired within 30 days due to non-neurological causes. Conclusions Our integrated technique combining ROSA and AIRO CT provides a feasible and practical approach for minimally invasive ICH evacuation. This method enhances hematoma clearance, improves intraoperative confidence, and increases overall surgical safety.

Source: World Neurosurgery X

DOI: 10.1016/j.wnsx.2026.100591