Abstract
Surgery for pineal region tumors is technically challenging due to their deep location and close proximity to critical deep venous structures, midbrain, and thalamus. A high-definition video exoscope was recently proposed as an alternative to the operating microscope. The authors illustrate a case of the midline supracerebellar infratentorial approach to resect a pineal region tumor using the Modus V exoscope and demonstrate the improved visualization of critical structures in this deep location. Additionally, the marked improvement in surgeon comfort suggests that this system may have significant advantages over traditional microscope-based surgery for tumors of the pineal region.The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2127.
Highlights
Surgery for pineal region tumors is technically challenging due to their deep location and close proximity to critical deep venous structures, midbrain, and thalamus
We are presenting a video of resection of a pineal region papillary tumor using digital robotic exoscope Modus V [Synaptive Medical]
We would like to demonstrate the advantages of using the exoscope to achieve excellent visualization for deep surgical corridor and improved surgeon’s comfort
Summary
Surgery for pineal region tumors is technically challenging due to their deep location and close proximity to critical deep venous structures, midbrain, and thalamus. We are presenting a video of resection of a pineal region papillary tumor using digital robotic exoscope Modus V [Synaptive Medical]. We would like to demonstrate the advantages of using the exoscope to achieve excellent visualization for deep surgical corridor and improved surgeon’s comfort. Her imaging demonstrated a pineal region heterogeneously enhancing lesion with obstructive hydrocephalus.
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