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VITOM 3D: Preliminary Experience in Cranial Surgery.

Zefferino Rossini1, Andrea Cardia2, Davide Milani2

  • 1Division of Neurosurgery, Università degli Studi di Milano, Milano, Italy; Division of Neurosurgery, HumanitasClinical and Research Center, Rozzano, Milano, Italy.

World Neurosurgery
|August 28, 2017
PubMed
Summary

The VITOM 3D exoscope offers 3D visualization for cranial surgery, improving ergonomics and depth of field. While overcoming previous stereopsis limitations, its mechanical components require further refinement for optimal surgical use.

Keywords:
ExoscopeHigh quality visionNew technology in cranial neurosurgeryVITOM 3D

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Area of Science:

  • Neurosurgery
  • Surgical Technology
  • Medical Imaging

Background:

  • Optimal vision and ergonomics are crucial for successful neurosurgical interventions.
  • Exoscopes, like the VITOM 3D, offer an alternative to traditional operating microscopes and endoscopes.
  • Previous exoscope models lacked stereopsis, a key limitation in surgical visualization.

Observation:

  • A patient with a petrous ridge meningioma underwent successful cranial surgery using the VITOM 3D exoscope.
  • The VITOM 3D system provided 4K resolution and three-dimensional visualization during the procedure.
  • Surgeons controlled focus, magnification, and camera positioning via a dedicated control unit.

Findings:

  • The VITOM 3D exoscope successfully addressed the lack of stereopsis found in earlier models.
  • The system demonstrated advantages in ergonomics, versatility, and depth of field compared to operating microscopes.
  • Areas for improvement include the exoscope's holder arm and adjustment mechanisms for repositioning and magnification.

Implications:

  • The VITOM 3D represents a significant advancement in exoscopic technology for cranial surgery.
  • Further development could enhance its utility and adoption in neurosurgical practice.
  • Surgeons should weigh the demonstrated benefits against the need for further technological refinement.