Preliminary experience with a digital robotic exoscope in cranial and spinal surgery: a review of the Synaptive Modus V system

Muhammad, Sajjad; Lehečka, Martin; Niemelä, Mika

doi:10.1007/s00701-019-03953-x

Cited by 46 publications

(98 citation statements)

References 7 publications

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“…Recently, the exoscope has been proposed as an alternative to the microscope in the field of neurosurgery. [1][2][3][4][5][26][27][28][29][30][31][32] One of the merits of exoscopes, including ORBEYE, is that they are superior to microscopes in terms of ergonomic features. The advantage of our method mainly depends on the excellence of the ergonomic operability.…”

Section: Discussionmentioning

confidence: 99%

Retrosigmoid Approach in the Supine Position Using ORBEYE: A Consecutive Series of 14 Cases

Shimizu

Toyota

Nakagawa

et al. 2020

Neurol. Med. Chir.(Tokyo)

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One of the merits of recently introduced exoscopes, including ORBEYE, is that they are superior to a conventional microscope in terms of ergonomic features. Taking advantage of it, the retrosigmoid approach can be performed in the supine position using ORBEYE. We report a consecutive series of 14 operations through the retrosigmoid approach in the supine position using ORBEYE. Fourteen consecutive patients who underwent surgery through the retrosigmoid approach for cerebellopontine (CP) angle lesions in the supine position using ORBEYE were targeted, and surgical outcomes and complications were examined. We evaluated the posture of the operator and the surgical field during this approach compared with those using a conventional microscope. In all 14 cases, all operative procedures were accomplished only using the ORBEYE. There were no operative complications due to this approach. Using ORBEYE, even when the angle of the operative visual axis was horizontal, the operators could manipulate in a comfortable posture. They were not forced to be in an uncomfortable posture that extended their arms, as is often the case with a conventional microscope. Therefore, they could use shorter surgical instruments. As the cerebellum shifted downward with gravity even using slight retraction during this approach, the working space of the surgical field was easily secured. Through this approach, the operators can perform stable microsurgery of CP angle lesions in a comfortable posture. This approach can reduce the burden on the operator and the patient, leading to a refined surgical procedure.

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Section: Discussionmentioning

confidence: 99%

Retrosigmoid Approach in the Supine Position Using ORBEYE: A Consecutive Series of 14 Cases

Shimizu

Toyota

Nakagawa

et al. 2020

Neurol. Med. Chir.(Tokyo)

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“…The operating microscope provides a signi cant intraoperative illumination and visualization of pathological tissue and anatomical structures, which makes the microneurosurgical procedure successful and safe. Thus, the microscope has become the mainstay instrument of neurosurgery [25]. However, there are some limitations in microscope including depth of eld, illumination, and ergonomics when working in deep corridors [15].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, di cult maneuverability and encumbrance over the operative eld are the motivations for the limited use of microscope during spinal procedures [16]. These limitations can in uence the comfort of the surgeon and the surgical outcome [25]. Tools to improve these limitations are required.…”

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

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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.

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“…Growing interest is currently being placed on exoscopic camera systems to improve illumination and depth-of-field when difficult-to-access or deep lesions limit the visibility, although their potential advantages over traditional operating microscopes still remain questionable. For example, several small case series have addressed the efficacy and safety of the Synaptive Modus V exoscope system in both spinal and cranial surgery, with encouraging results [37].…”

Section: Other Cranial Applicationsmentioning

confidence: 99%

Global adoption of robotic technology into neurosurgical practice and research

et al. 2020

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Recent technological advancements have led to the development and implementation of robotic surgery in several specialties, including neurosurgery. Our aim was to carry out a worldwide survey among neurosurgeons to assess the adoption of and attitude toward robotic technology in the neurosurgical operating room and to identify factors associated with use of robotic technology. The online survey was made up of nine or ten compulsory questions and was distributed via the European Association of the Neurosurgical Societies (EANS) and the Congress of Neurological Surgeons (CNS) in February and March 2018. From a total of 7280 neurosurgeons who were sent the survey, we received 406 answers, corresponding to a response rate of 5.6%, mostly from Europe and North America. Overall, 197 neurosurgeons (48.5%) reported having used robotic technology in clinical practice. The highest rates of adoption of robotics were observed for Europe (54%) and North America (51%). Apart from geographical region, only age under 30, female gender, and absence of a non-academic setting were significantly associated with clinical use of robotics. The Mazor family (32%) and ROSA (26%) robots were most commonly reported among robot users. Our study provides a worldwide overview of neurosurgical adoption of robotic technology. Almost half of the surveyed neurosurgeons reported having clinical experience with at least one robotic system. Ongoing and future trials should aim to clarify superiority or non-inferiority of neurosurgical robotic applications and balance these potential benefits with considerations on acquisition and maintenance costs.

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Preliminary experience with a digital robotic exoscope in cranial and spinal surgery: a review of the Synaptive Modus V system

Cited by 46 publications

References 7 publications

Retrosigmoid Approach in the Supine Position Using ORBEYE: A Consecutive Series of 14 Cases

Retrosigmoid Approach in the Supine Position Using ORBEYE: A Consecutive Series of 14 Cases

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

Global adoption of robotic technology into neurosurgical practice and research

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