English
Arabic
Chinese (Simplified)
Dutch
French
German
Italian
Portuguese
Russian
Spanish
- Department of Neurosurgery, ASST Ovest Milanese, Legnano, Milan, Italy
- Department of Neurosurgery, University of Insubria, Varese, Italy
- Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Correspondence Address:
Stefano Peron, Department of Neurosurgery, ASST Ovest Milanese, Legnano, Milan, Italy.
DOI:10.25259/SNI_558_2023
Copyright: © 2023 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Stefano Peron1, Giovanni Marco Sicuri1, Alberto Campione2, Martina Venturini2, Silvia Schembari2, Angelo Rusconi1, Delia Cannizzaro3, Roberto Stefini1. Spinal navigation for small thoracic intradural tumors: The challenge between minimally invasive and exoscopic magnification. 04-Aug-2023;14:272
How to cite this URL: Stefano Peron1, Giovanni Marco Sicuri1, Alberto Campione2, Martina Venturini2, Silvia Schembari2, Angelo Rusconi1, Delia Cannizzaro3, Roberto Stefini1. Spinal navigation for small thoracic intradural tumors: The challenge between minimally invasive and exoscopic magnification. 04-Aug-2023;14:272. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=12488
Date of Submission
02-Jul-2023
Date of Acceptance
20-Jul-2023
Date of Web Publication
04-Aug-2023
Abstract
Background: Spinal navigation offers significant benefits in the surgical treatment of small thoracic intradural tumors. It enables precise tumor localization without subjecting the patient to high radiation doses. In addition, it allows for a smaller skin incision, reduced muscle stripping, and limited bone removal, thereby minimizing the risk of iatrogenic instability, blood loss, postoperative pain, and enabling shorter hospital stays.
Case Description: This video presents two cases demonstrating the application of spinal navigation technique for thoracic intradural tumors measuring
Conclusion: In these procedures, the use of an exoscope, in addition to the well-known advantages in terms of magnification and ergonomics, provides a large space of movement around the surgical field, with greater ease in the use of navigation devices and ultrasound. The minimal invasiveness of the surgical approach is in no way a hindrance to exoscopic visualization and surgical dissection.
Keywords: 4K-3D images, Exoscope, Spinal intradural tumor, Spinal navigation
Video 1
Annotations[1-5]
00:00 – Principles and advantages of spinal navigation and exoscopic surgery 02:36 – First case description 05:17 – Second case description 08:55 – Conclusions
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
Videos available on:
Disclaimer
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
References
1. Kwan K, Schneider JR, Du V, Falting L, Boockvar JA, Oren J. Lessons learned using a high-definition 3-dimensional exoscope for spinal surgery. Oper Neurosurg (Hagerstown). 2019. 16: 619-25
2. Mannion RJ, Nowitzke AM, Efendy J, Wood MJ. Safety and efficacy of intradural extramedullary spinal tumor removal using a minimally invasive approach. Neurosurgery. 2011. 68: 208-16 discussion 216
3. Peron S, Rusconi A, Cividini A, Sicuri M, Roccucci P, Stefini R. High-definition 4K-three-dimensional exoscope in spinal surgery: A new era of visualization in microsurgery?. J Spine Res Surg. 2021. 3: 58-70
4. Siller S, Zoellner C, Fuetsch M, Trabold R, Tonn JC. A high-definition 3D exoscope as an alternative to the operating microscope in spinal microsurgery. J Neurosurg Spine. 2020. 10: 1-10
5. Stefini R, Peron S, Mandelli J, Bianchini E, Roccucci P. Intraoperative spinal navigation for the removal of intradural tumors: Technical notes. Oper Neurosurg (Hagerstown). 2018. 15: 54-59
