Vitom-3D for Exoscopic Neurosurgery: Initial Experience in Cranial and Spinal Procedures

Area of Science:

• Neurosurgery
• Surgical Technology
• Medical Imaging

Background:

• A novel exoscope providing 3-dimensional (3D) visualization has been developed for neurosurgical applications.
• This technology aims to enhance visualization during complex cranial and spinal procedures.

Purpose of the Study:

• To detail the application of a new 3D exoscope in neurosurgery.
• To evaluate the safety and efficacy of the 3D exoscope system.

Main Methods:

• 16 neurosurgical procedures (5 cranial, 11 spinal) were performed using the 3D exoscope.
• Key aspects including instrument handling, exoscope repositioning, image control, magnification, focus, depth perception, image quality, illumination, and surgeon comfort were assessed via questionnaire.

Main Results:

• The 3D exoscope was utilized in various procedures, including tumor resections, spinal fusions, and decompressions.
• 100% of procedures received excellent ratings for instrument handling, exoscope management, and surgeon comfort.
• Image quality was comparable to operating microscopes in 68.75% of cases, with no technical failures or exoscope-related complications.

Conclusions:

• The 3D exoscope system is a safe and effective tool for spinal and less complex cranial neurosurgery.
• It provides visualization and image quality comparable to traditional operating microscopes.
• A significant advantage is the enhanced comfort for the surgical team during procedures.