Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec;165(12):3921-3925.
doi: 10.1007/s00701-023-05885-z. Epub 2023 Nov 10.

3D4K exoscope in epilepsy surgery: a seminal experience

Michele Rizzi  1 , Nicolò Castelli  2 , Vittoria Cojazzi  1 , Niccolò Innocenti  1 , Vincenzo Levi  1 , Giuseppe Didato  3 , Gianluca Marucci  4 , Rita Garbelli  5 , Vittoria Nazzi  1
Affiliations

3D4K exoscope in epilepsy surgery: a seminal experience

Michele Rizzi et al. Acta Neurochir (Wien). 2023 Dec.

Abstract

Background and objectives: To report the progressive introduction of the exoscope (EX) from surface lesionectomy to antero-mesial temporal lobectomy (AMTL) in an epilepsy surgery practice.

Methods: We describe a population of ten consecutive patients undergoing EX surgery, with a minimum follow-up of 6 months, that was compared to a similar population of patients referred to operative microscopic surgery (OM).

Results: All surgeries were performed with the use of EX or OM alone. Transient neurological complications for surgery in eloquent regions were recorded in one patient for each population. Nine and seven patients undergoing, respectively, EX and OM surgery resulted in Engel class Ia (90% vs. 70%). The mean duration of EX and OM surgery resulted in 265.5 and 237.9 min, respectively, with a mean of 308.3 and 253.3 min for AMTL cases, respectively.

Conclusions: This preliminary study revealed that ORBEYE EX can be safe and effective in different types of epilepsy surgeries. The transition from OM to EX is fast, even though it is slower for the more challenging mesial temporal structure removal. Ergonomic and operative team interaction is improved by the use of EX. Our data need to be confirmed by larger studies.

Keywords: Drug-resistant epilepsy; Exoscope; Lesionectomy; Temporal lobectomy.

PubMed Disclaimer

References

    1. Abramovic A, Demetz M, Krigers A, Bauer M, Lener S, Pinggera D, Kerschbaumer J, Hartmann S, Fritsch H, Thomé C, Freyschlag CF (2021) Surgeon’s comfort: the ergonomics of a robotic exoscope using a head-mounted display. Brain Spine 28(2):100855. https://doi.org/10.1016/j.bas.2021 - DOI
    1. Dwivedi R, Ramanujam B, Chandra PS, Sapra S, Gulati S, Kalaivani M, Garg A, Bal CS, Tripathi M, Dwivedi SN, Sagar R, Sarkar C, Tripathi M (2017) Surgery for drug-resistant epilepsy in children. N Engl J Med 377(17):1639–1647. https://doi.org/10.1056/NEJMoa1615335 - DOI - PubMed
    1. Engel J Jr, Van Ness PC, Rasmussen TB, Ojemann LM (1993) Outcome with respect to epileptic seizures, in Engel J Jr (ed) Surgical treatment of the epilepsies, ed 2. New York, Ra- ven Press, pp 609–621
    1. Herta J, Rössler K, Dorfer C (2022) Technical assessment of microvascular decompression for trigeminal neuralgia using a 3-dimensional exoscope: a case series. Oper Neurosurg (Hagerstown) 23(5):374–381. https://doi.org/10.1227/ons.0000000000000362 - DOI - PubMed
    1. Hines K, Hughes LP, Franco D, Sharan AD, Wu C (2023) Exoscope improves visualization and extent of hippocampal resection in temporal lobectomy. Acta Neurochir (Wien) 165(1):259–263. https://doi.org/10.1007/s00701-022-05405-5 - DOI - PubMed

LinkOut - more resources