{"id":"https://openalex.org/W4417462012","doi":"https://doi.org/10.1227/ons.0000000000001867","title":"Integrating Robotics into Neurosurgery: Robot-Assisted Surgery for Retroperitoneal Nerve Sheath Tumors. Case Series and Systematic Review","display_name":"Integrating Robotics into Neurosurgery: Robot-Assisted Surgery for Retroperitoneal Nerve Sheath Tumors. Case Series and Systematic Review","publication_year":2025,"publication_date":"2025-12-18","ids":{"openalex":"https://openalex.org/W4417462012","doi":"https://doi.org/10.1227/ons.0000000000001867","pmid":"https://pubmed.ncbi.nlm.nih.gov/41410461"},"language":"en","primary_location":{"id":"doi:10.1227/ons.0000000000001867","doi":"https://doi.org/10.1227/ons.0000000000001867","is_oa":true,"landing_page_url":"https://doi.org/10.1227/ons.0000000000001867","pdf_url":null,"source":{"id":"https://openalex.org/S2734605188","display_name":"Operative Neurosurgery","issn_l":"2332-4252","issn":["2332-4252","2332-4260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Operative Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1227/ons.0000000000001867","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5107375375","display_name":"Alberto Ramponi","orcid":"https://orcid.org/0009-0005-2122-7241","observed_orcids":["https://orcid.org/0009-0005-2122-7241"]},"institutions":[{"id":"https://openalex.org/I66752286","display_name":"University of Milano-Bicocca","ror":"https://ror.org/01ynf4891","country_code":"IT","type":"education","lineage":["https://openalex.org/I66752286"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Alberto Ramponi","raw_affiliation_strings":["Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":"https://orcid.org/0009-0005-2122-7241","affiliations":[{"raw_affiliation_string":"Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","institution_ids":["https://openalex.org/I66752286"]},{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052107286","display_name":"Alessandro Versace","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alessandro Versace","raw_affiliation_strings":["Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104108842","display_name":"Alberto Marco Vimercati","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alberto Marco Vimercati","raw_affiliation_strings":["Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056151964","display_name":"Gaetano Trezzi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gaetano Trezzi","raw_affiliation_strings":["Department of Gynecology, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111538692","display_name":"Paolo Guerra","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paolo Guerra","raw_affiliation_strings":["Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120844676","display_name":"Beatrice Bondurri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I66752286","display_name":"University of Milano-Bicocca","ror":"https://ror.org/01ynf4891","country_code":"IT","type":"education","lineage":["https://openalex.org/I66752286"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Beatrice Bondurri","raw_affiliation_strings":["Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","institution_ids":["https://openalex.org/I66752286"]},{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Vincenzo Rondinelli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I66752286","display_name":"University of Milano-Bicocca","ror":"https://ror.org/01ynf4891","country_code":"IT","type":"education","lineage":["https://openalex.org/I66752286"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Vincenzo Rondinelli","raw_affiliation_strings":["Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","institution_ids":["https://openalex.org/I66752286"]},{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5087063740","display_name":"Carlo Giorgio Giussani","orcid":"https://orcid.org/0000-0002-9033-2927","observed_orcids":["https://orcid.org/0000-0002-9033-2927"]},"institutions":[{"id":"https://openalex.org/I66752286","display_name":"University of Milano-Bicocca","ror":"https://ror.org/01ynf4891","country_code":"IT","type":"education","lineage":["https://openalex.org/I66752286"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Carlo Giussani","raw_affiliation_strings":["Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy;","institution_ids":["https://openalex.org/I66752286"]},{"raw_affiliation_string":"Department of Neurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, MB, Italy;","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5087063740","https://openalex.org/A5107375375"],"corresponding_institution_ids":["https://openalex.org/I66752286"],"apc_list":null,"apc_paid":null,"fwci":0.5487,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.59337157,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11173","display_name":"Neurofibromatosis and Schwannoma Cases","score":0.5145999789237976,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11173","display_name":"Neurofibromatosis and Schwannoma Cases","score":0.5145999789237976,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.29829999804496765,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":0.024700000882148743,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/robotic-surgery","display_name":"robotic surgery","score":0.9760000109672546},{"id":"https://openalex.org/keywords/benign-peripheral-nerve-sheath-tumor","display_name":"benign peripheral nerve sheath tumor","score":0.7210000157356262},{"id":"https://openalex.org/keywords/intraoperative-neurophysiological-monitoring","display_name":"intraoperative neuromonitoring","score":0.8830000162124634},{"id":"https://openalex.org/keywords/surgical-resection","display_name":"surgical resection","score":0.574999988079071},{"id":"https://openalex.org/keywords/blood-loss","display_name":"blood loss","score":0.6309999823570251},{"id":"https://openalex.org/keywords/postoperative-neurological-deficit","display_name":"postoperative neurological deficit","score":0.871999979019165},{"id":"https://openalex.org/keywords/postoperative-hospital-stay","display_name":"postoperative hospital stay","score":0.8140000104904175},{"id":"https://openalex.org/keywords/learning-curve","display_name":"learning curve","score":0.7839999794960022},{"id":"https://openalex.org/keywords/minimally-invasive-surgery","display_name":"minimally invasive surgery","score":0.6179999709129333}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9587000012397766},{"id":"https://openalex.org/C34413123","wikidata":"https://www.wikidata.org/wiki/Q170978","display_name":"Robotics","level":3,"score":0.76419997215271},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6438000202178955},{"id":"https://openalex.org/C34585555","wikidata":"https://www.wikidata.org/wiki/Q1368723","display_name":"Learning curve","level":2,"score":0.5853000283241272},{"id":"https://openalex.org/C103203806","wikidata":"https://www.wikidata.org/wiki/Q942348","display_name":"Robotic surgery","level":2,"score":0.5450000166893005},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.5252000093460083},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.40400001406669617},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.3894999921321869},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.38850000500679016},{"id":"https://openalex.org/C150415221","wikidata":"https://www.wikidata.org/wiki/Q40687","display_name":"Robotic arm","level":2,"score":0.3425000011920929},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3416999876499176},{"id":"https://openalex.org/C143724316","wikidata":"https://www.wikidata.org/wiki/Q312468","display_name":"Series (stratigraphy)","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.26840001344680786},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C90509273","wikidata":"https://www.wikidata.org/wiki/Q11012","display_name":"Robot","level":2,"score":0.2572999894618988},{"id":"https://openalex.org/C2781437307","wikidata":"https://www.wikidata.org/wiki/Q977628","display_name":"Microsurgery","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C2992477034","wikidata":"https://www.wikidata.org/wiki/Q83042","display_name":"Clinical neurology","level":2,"score":0.2556999921798706}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1227/ons.0000000000001867","doi":"https://doi.org/10.1227/ons.0000000000001867","is_oa":true,"landing_page_url":"https://doi.org/10.1227/ons.0000000000001867","pdf_url":null,"source":{"id":"https://openalex.org/S2734605188","display_name":"Operative Neurosurgery","issn_l":"2332-4252","issn":["2332-4252","2332-4260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Operative Neurosurgery","raw_type":"journal-article"},{"id":"pmid:41410461","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41410461","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Operative neurosurgery (Hagerstown, Md.)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1227/ons.0000000000001867","doi":"https://doi.org/10.1227/ons.0000000000001867","is_oa":true,"landing_page_url":"https://doi.org/10.1227/ons.0000000000001867","pdf_url":null,"source":{"id":"https://openalex.org/S2734605188","display_name":"Operative Neurosurgery","issn_l":"2332-4252","issn":["2332-4252","2332-4260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Operative Neurosurgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":51,"referenced_works":["https://openalex.org/W1863313767","https://openalex.org/W1967781220","https://openalex.org/W1998032839","https://openalex.org/W2008004055","https://openalex.org/W2014554570","https://openalex.org/W2023477249","https://openalex.org/W2049053017","https://openalex.org/W2067340720","https://openalex.org/W2103030922","https://openalex.org/W2117400862","https://openalex.org/W2334564739","https://openalex.org/W2465772891","https://openalex.org/W2602089812","https://openalex.org/W2604730950","https://openalex.org/W2744968316","https://openalex.org/W2764340357","https://openalex.org/W2776560011","https://openalex.org/W2797720211","https://openalex.org/W2806244674","https://openalex.org/W2810010175","https://openalex.org/W2895425619","https://openalex.org/W2914464294","https://openalex.org/W2915708324","https://openalex.org/W2938772014","https://openalex.org/W2945405931","https://openalex.org/W2954929537","https://openalex.org/W2968304512","https://openalex.org/W3026866972","https://openalex.org/W3087595308","https://openalex.org/W3115110093","https://openalex.org/W3117961790","https://openalex.org/W3119744266","https://openalex.org/W3123668375","https://openalex.org/W3165440601","https://openalex.org/W3172310719","https://openalex.org/W3185219072","https://openalex.org/W4200339166","https://openalex.org/W4205249582","https://openalex.org/W4295757625","https://openalex.org/W4307002212","https://openalex.org/W4311123282","https://openalex.org/W4312870197","https://openalex.org/W4362603205","https://openalex.org/W4380264037","https://openalex.org/W4388035085","https://openalex.org/W4389069865","https://openalex.org/W4389476974","https://openalex.org/W4390502659","https://openalex.org/W4392604448","https://openalex.org/W4404791736","https://openalex.org/W4407562848"],"related_works":[],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"OBJECTIVES:":[2],"Robotics":[3],"has":[4,29,153,219],"gained":[5],"popularity":[6],"in":[7,189,199,250],"abdominal":[8],"and":[9,20,23,66,80,103,119,147,230,239],"pelvic":[10],"oncological":[11],"surgery,":[12,142,184],"showing":[13],"advantages":[14],"such":[15],"as":[16],"reduced":[17,224],"blood":[18,121,175,225],"loss":[19,122,176],"postoperative":[21,204],"pain,":[22],"shorter":[24,227],"hospital":[25,205,232],"stays.":[26],"Its":[27],"use":[28],"expanded":[30],"to":[31,100,143,246],"resect":[32],"retroperitoneal":[33,64,94,137,160,217],"Nerve":[34],"Sheath":[35],"Tumors":[36],"(NSTs),":[37],"allowing":[38],"for":[39],"minimally":[40],"invasive":[41],"excision":[42],"of":[43,62,71,92,116,123,136,159,177,191,201,216],"larger":[44],"tumors":[45],"within":[46],"a":[47,63,68,75,112,120],"complex":[48],"anatomic":[49],"setting.":[50],"In":[51],"this":[52],"study,":[53],"we":[54],"present":[55],"our":[56,85],"initial":[57,237],"experience":[58],"with":[59,74,111,140,172],"robotic":[60,141],"resection":[61,91,215],"NSTs":[65,138,218],"conduct":[67],"systematic":[69,127],"review":[70,128],"the":[72,235],"literature,":[73],"focus":[76],"on":[77,156],"intraoperative":[78],"performance":[79],"long-term":[81],"outcomes.":[82,149],"METHODS:":[83],"At":[84],"institution,":[86],"2":[87],"patients":[88],"underwent":[89],"robot-assisted":[90],"benign":[93],"NSTs.":[95,161],"Intraoperative":[96],"neuromonitoring":[97],"was":[98,129,166,207],"used":[99],"ensure":[101],"safe":[102],"complete":[104],"tumor":[105],"excision.":[106],"The":[107,162],"procedures":[108],"were":[109,197],"completed":[110],"mean":[113,163],"operative":[114,228],"time":[115,165],"98":[117],"minutes":[118],"100":[124],"mL.":[125],"A":[126],"then":[130],"conducted,":[131],"identifying":[132],"62":[133],"additional":[134],"cases":[135,158],"treated":[139],"assess":[144],"its":[145,247],"efficacy":[146],"clinical":[148,252],"RESULTS:":[150],"Robotic-assisted":[151],"surgery":[152],"been":[154],"performed":[155],"64":[157],"surgical":[164],"1.95":[167],"hours":[168],"(range:":[169,180,210],"0.27-6.28":[170],"hours),":[171],"an":[173],"average":[174],"57.03":[178],"mL":[179],"10-600":[181],"mL).":[182],"After":[183],"temporary":[185],"neurological":[186,195],"impairments":[187],"occurred":[188],"12.7%":[190],"cases,":[192],"while":[193],"persistent":[194],"deficits":[196],"observed":[198],"5.4%":[200],"patients.":[202],"Average":[203],"stay":[206],"3.39":[208],"days":[209],"1-9":[211],"days).":[212],"CONCLUSION:":[213],"Robotic":[214],"shown":[220],"potential":[221],"advantages,":[222],"including":[223],"loss,":[226],"time,":[229],"decreased":[231],"stay.":[233],"However,":[234],"high":[236],"costs":[238],"inherent":[240],"learning":[241],"curve":[242],"remain":[243],"significant":[244],"barriers":[245],"widespread":[248],"adoption":[249],"routine":[251],"practice.":[253]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2025-12-18T00:00:00"}
