{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:59:29Z","timestamp":1777291169395,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite improvements in revascularisation, precise donor vessel localization and haemodynamic optimization remain critical challenges in moyamoya disease (MMD) bypass surgery, especially for patients with pre\u2010existing extracranial\u2010intracranial (EC\u2010IC) collaterals. This study evaluates the feasibility of neurosurgical robot\u2010assisted navigation in addressing these challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five consecutive MMD patients who received robot\u2010assisted combined direct (STA\u2010MCA) and indirect bypass from July to October 2023 were analysed retrospectively. Primary outcomes were intraoperative vessel injury rates and 12\u2010month donor vessel patency on DSA\/MRA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All STA dissections (5\/5) succeeded without MMA injury. Postoperative imaging showed no competitive flow or donor vessel occlusion. All patients exhibited improved cognitive scores and favourable clinical outcomes at 1\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robot\u2010assisted navigation enhances surgical precision in MMD through: Preserving EC\u2010IC collaterals via millimetre\u2010level trajectory planning and optimising anastomosis geometry to prevent competitive flow, which is important for patients with existing collaterals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70162","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T09:38:21Z","timestamp":1775727501000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neurosurgical Robot\u2010Assisted Navigation Enhances Precision in Bypass Surgery for Moyamoya Disease: A Study of Vascular Protection 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