To summarize ROSA robot’s preliminary application experience in neurosurgery.

A retrospective analysis was made of 14 patients who underwent ROSA robotic surgery in Department of Neurosurgery, Affiliated Qianfoshan Hospital of Shandong University from September 2018 to October 2018. The types of diseases include cerebral hemorrhage, brainstem hemorrhage, Parkinson’s disease, intracranial tumors and hydrocephalus, which all have the need for precise targets. ROSA robotic assisted surgery was used to evaluate the feasibility, registration method and final outcome of ROSA robotic surgery.

Three cases of cerebral hemorrhage puncture drainage were registered by facial laser scanning with an average error of 0.8 mm; 1 case of brainstem hemorrhage puncture drainage was registered by scalp Mark with an error of 1.0 mm; 2 cases of recurrent glioma undergoing radiofrequency thermocoagulation and 3 cases of deep cerebral cavernous hemangioma resection were registered by facial laser scanning with an average error of 0.7 mm; 2 cases of intracranial lesion biopsy and 2 cases of ventricular abdominal cavity were registered by bone mark with an average error of 0.3 mm; 1 case of Parkinson’s disease undergoing deep brain stimulation was registered with skeletal Mark with an error of 0.3 mm. All patients achieved the expected therapeutic effect after operation, and no serious complications occurred.

ROSA can significantly improve the precision and safety of neurosurgery, has a wide range of indications, and is easy to operate, so it has a broad prospect of application in neurosurgery.