VITOM 3D: Preliminary Experience in Cranial Surgery

Rossini, Zefferino; Cardia, Andrea; Milani, Davide; Lasio, Giovanni; Fornari, Maurizio; D’Angelo, Vincenzo

doi:10.1016/j.wneu.2017.08.083

Cited by 96 publications

(80 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, microsurgery means continuous use of both hands and in case of brisk bleeding having to adjust the instrument by hand might be extremely dangerous. Therefore, Rossini et al [30] suggests the development of a footplate command mandatory for safe clinical utilization of the exoscope. Besides, although most neurosurgeons today are accustomed to an operative microscope, there is certainly a learning curve necessary before using the exoscope in spinal surgery.…”

Section: Discussionmentioning

confidence: 99%

Application of a three-dimensional high-definition exoscope in minimally invasive transforaminal lumbar interbody fusion

Yao

Xiong²,

Huang³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is becoming increasingly popular in the treatment of lumbar degenerative diseases. Microscope assisted MIS-TLIF was also reported favorable clinical outcomes and low complication rates, while limitations can include depth of field, illumination, and ergonomics. The exoscope has been introduced as an alternative to microscopes. In this report, we describe the application of the 3-dimensional (3D), high-definition (HD) exoscope for MIS-TLIF, and discuss its advantages and disadvantages. Methods Six patients were performed 3D-HD exoscope-assisted MIS-TLIF from September 2019 to December 2019. The exoscope was used [Kestrel View II, WEALTH CONCORD MITAKA MEDICAL TECHNOLOGIESCO., LTD. OF SHANGHAI, CHINA] during soft tissue dissection, discectomy, decompression, and cage insertion. Results The exoscope provided an excellent 3D view of the surgical field and allowed us to effectively and safely perform the surgical steps. All 6 patients experienced excellent surgical outcomes. The main advantages of the 3D exoscope include the possibility to provide excellent, magnified, and illuminated 3D-HD images of the surgical field to the entire operating room and serving as an excellent training tool. Conclusion We believe that the 3D exoscope will be a safe and effective tool to perform MIS-TLIF.

show abstract

Section: Discussionmentioning

confidence: 99%

Application of a three-dimensional high-definition exoscope in minimally invasive transforaminal lumbar interbody fusion

Yao

Xiong²,

Huang³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…That lack of 3D visualization was a concern to many surgeons and this drawback was mentioned frequently in preliminary studies [24,[35][36][37][38] . It took about nine years to further evolve the 2D visualization and introduce the first 3D exoscopic visualization system [39,40] . In the following years, the 3D exoscope has been used to perform various technical more demanding neurosurgical procedures, even in pediatric cases, including treatment of cerebrovascular disorders (i.e., aneurysm clipping and bypass surgery), degenerative spinal disorders, and resection of cranial and spinal tumors [41][42][43][44][45][46][47][48][49][50] .…”

Section: Exoscope In Neurosurgerymentioning

confidence: 99%

“…Initial impressions were that the most obvious and clinically relevant benefits are related to working ergonomics (intuitive operating room setup, instrument handling, and surgeons' comfort) and trainees' learning experience. Some disadvantages such as headache, dizziness, and nausea due to wearing polarized glasses, the use of two monitors in selected cases were the surgeon and the assistant were positioned on the opposite side of the patient's body, and the inability to rotate the onscreen picture has been reported as well [39][40][41] . The main limitation of the Vitom-3D is the reduced illumination and magnification in the depth of the operative field compared to the operating microscope, especially with small dimensions of the approach.…”

Section: Exoscope In Neurosurgerymentioning

confidence: 99%

The role of Vitom-3D in the management of spinal meningiomas: review of the literature and illustrative case

d’Avella¹,

Sacco²,

Somma³

et al. 2020

Mini-invasive Surg

View full text Add to dashboard Cite

The favorable outcome generally associated with spinal meningioma surgery is the result of the continuing refinement of the surgical technique, the use of intraoperative neuromonitoring, and a better understanding of the tumor biological behavior. Among all the technological advancements, visualization tools are the keys to any successful surgical procedure. The operating microscope is the gold standard in all neurosurgical procedures. In recent years, high-definition exoscope systems have entered the field of neurosurgery, as another tool in the armamentarium of the contemporary neurosurgeon. After initial experiences and technical improvements, the exoscope has proven to be best suited for spinal procedures. This study aims to briefly review the exoscope journey in neurosurgery, with a special focus on spinal meningioma surgery. Benefits and limitations are analyzed and an illustrative case is reported. Spinal meningiomas removal under exoscope visualization has proven to be feasible, efficient, and safe. Indication for the use of the exoscope greatly depends on meningioma size, consistency, relationship to surrounding neurovascular structures, and the surgeon's experience. Switching to the operating microscope, if deemed safer, should always be considered.

show abstract

“…The device has several new features with novel intraoperative applications. The ViTOM [5][6][7][8] is one of the older devices which attempted to bridge the gap between microscopic and endoscopic visualization. Newer microscope tools have been developed to enhance surgical visualization such as ORBEYE, a 4K three-dimensional (3D) microvideoscope 3D-Eye-Flex, BrightMatter Servo System (Synaptive Medical).…”

Section: Neurosurgical Visualizationmentioning

confidence: 99%

Mythri 1.0—Progress of an Indian Surgical Robot

Vazhayil

Voggu

Arumalla

et al. 2020

Indian Journal of Neurosurgery

View full text Add to dashboard Cite

Neurosurgical procedures are performed using operating microscopes. The technology of most microscopes has not changed much over the past 60 years. The National Institute of Mental Health and Neurosciences and International Institute of Information Technology based at Bengaluru have embarked on joint collaboration for developing robot for neurosurgical applications. As a working prototype, robotic microscope Mythri 1.0 has been developed. An overview of the development process, working, and features of the device is presented in the article.

show abstract

VITOM 3D: Preliminary Experience in Cranial Surgery

Cited by 96 publications

References 19 publications

Application of a three-dimensional high-definition exoscope in minimally invasive transforaminal lumbar interbody fusion

Application of a three-dimensional high-definition exoscope in minimally invasive transforaminal lumbar interbody fusion

The role of Vitom-3D in the management of spinal meningiomas: review of the literature and illustrative case

Mythri 1.0—Progress of an Indian Surgical Robot

Contact Info

Product

Resources

About