Muhammad, SajjadLehecka, MartinNiemelä, Mika2019-10-302019-10-302019-10Muhammad, 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-xRIS: urn:B2986B2509D2715B021D9E4861F576F0RIS: Muhammad2019http://hdl.handle.net/10138/306533Background 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.6engcc_byinfo:eu-repo/semantics/openAccessCranial surgeryDigital two-dimensional exoscopeModus VSpinal surgeryNeurosciencesNeurology and psychiatrySurgery, anesthesiology, intensive care, radiologyReview ArticleopenAccessfe7724f0-99f3-49a5-aad8-1724d6f4030c000486021200026