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

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Muhammad , S , Lehecka , M & Niemelä , M 2019 , ' Preliminary experience with a digital robotic exoscope in cranial and spinal surgery: a review of the Synaptive Modus V system ' , Acta Neurochirurgica , vol. 161 , no. 10 , pp. 2175-2180 . https://doi.org/10.1007/s00701-019-03953-x

Title: Preliminary experience with a digital robotic exoscope in cranial and spinal surgery: a review of the Synaptive Modus V system
Author: Muhammad, Sajjad; Lehecka, Martin; Niemelä, Mika
Contributor: University of Helsinki, HUS Neurocenter
University of Helsinki, HUS Neurocenter
University of Helsinki, Department of Neurosciences
Date: 2019-10
Language: eng
Number of pages: 6
Belongs to series: Acta Neurochirurgica
ISSN: 0942-0940
URI: http://hdl.handle.net/10138/306533
Abstract: Background The microscope is the standard tool for microneurosurgery worldwide. However, the reduced illumination of the surgical field with the use of a conventional microscope during surgeries of deeply located pathologies remains unaddressed. Accordingly, different exoscope systems have recently been introduced in clinical practice. Here, we report our initial experience with the digital 2-dimensional Synaptive Modus V exoscope system in spinal and cranial surgery. Methods During a 2-week period between 27 September to 11 October 2018, we used the Synaptive Modus V exoscope system and performed eight neurosurgical procedures including spine (n = 4) and cranial procedures (n = 4). Visual quality, depth perception, complications, switching to microscope comfort level of the surgeon, and learning curve during surgery were evaluated. Results A total of eight procedures were performed, namely, vestibular schwannoma (n = 1), skull base meningioma (n = 1), olfactory groove meningioma (n = 1), tentorial meningioma (n = 1), anterior cervical discectomy (n = 1), cervical laminectomy (n = 1), and lumbar disc herniation (n = 2). The overall results were comparable to the operative microscope with better visual quality and greater comfort for the surgeon. Conclusion The Synaptive Modus V system is a safe tool to perform common spinal surgeries and intracranial tumor resection. Image quality is better than a microscope but with slightly less depth perception. Vigorous training in the laboratory may be helpful before clinical use.
Subject: Cranial surgery
Digital two-dimensional exoscope
Modus V
Spinal surgery
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
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