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The exoscope has been introduced as an alternative to microscopes or endoscopes. We used a 3D, HD exoscope (3D Vitom®, Karl Storz, Tuttlingen, Germany) in two patients undergoing two-level ACDF for cervical myelo-radiculopathy. METHODS:

The exoscope was used during soft-tissue dissection, discectomy, osteophytectomy and cage insertion. Microsurgical drilling of posterior osteophytes, which usually requires adequate magnification and proper microscope angulation, was also performed with the exoscope.

Exoscope provided a 3D view of the surgical field similar to a microscope and allowed us to effectively and safely perform the above surgical steps. The main advantage of 3D exoscope-assisted surgery, compared to microscope-assisted surgery, is the possibility to generate videos with a similar view and image quality as perceived by the surgeon; therefore, the didactic capabilities of exoscopic videos are greater than those provided by microscopes. Exoscopes are also smaller compared to microscopes: this allows for comfortable use from early surgical steps to device implantation.

Barbagallo et al., think that exoscope-assisted surgery may become a safe and effective alternative to microscope-assisted surgery in ACDF 1).

Barbagallo GM, Certo F. 3D, HD exoscopic Anterior Cervical Discectomy and Fusion: a valid alternative to microscope-assisted surgery. World Neurosurg. 2019 Jun 14. pii: S1878-8750(19)31590-6. doi: 10.1016/j.wneu.2019.06.049. [Epub ahead of print] PubMed PMID: 31207374.
exoscope.txt · Last modified: 2019/06/26 12:18 by administrador