Operative Neurosurgery 28:506–510, 2025
This study explores the feasibility of robotic-assisted lateral transorbital surgery for accessing Meckel cave. Challenges include tool size and limited entry space, though internal surgical space is adequate. Future advancements in smaller, haptic-enabled tools could enhance the practicality of this approach.
• The study explores the feasibility of robotic-assisted lateral transorbital approach (LTOA) using the DaVinci Xi model for neurosurgery.
• Six cadaver heads were used for dissection to evaluate tool insertion and movement.
• The current robotic tools are too large for effective LTOA, limiting the insertion to one tool and a camera.
• Removing the lateral orbital rim (LOR) provides more space but still limits tool usage due to size constraints.
• There is potential for LTOA with smaller, more precise tools in the future, offering a wide surgical field around Meckel cave.
• The study highlights the need for development of narrower robotic instruments and haptic feedback systems for better surgical outcomes.
• Multiportal techniques, like adding a transnasal portal, could enhance tool use, but haptic feedback remains a critical need.
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