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CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1782667
Video Article

Exoscopic Minimally Invasive Excision of Intradural Extramedullary Tumor

Debabrata Sahana
1   Department of Neurosurgery, Marina Medical Centre, Jalpaiguri, West Bengal, India
,
Lavlesh Rathore
2   Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, India
,
Sanjeev Kumar
2   Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, India
,
Rajiv K. Sahu
2   Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, India
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Abstract

Spinal tumors extending up to two levels can be removed using minimally invasive techniques. A microscope is traditionally used as a visualization tool with the tubular-retractor system. An exoscope is a newer optical tool with improved digital resolution, panoramic view, and better ergonomics for surgery. A 36-year-old who presented with paraparesis was diagnosed with intradural extramedullary tumor in the T7-T8 region. A complete tumor resection was possible using tubular retractors and exoscope. The patient recovered clinically. We document our surgical experience and present an edited video of the surgery. The key steps and nuances are described in the audio timeline. The authors acknowledge the feasibility of performing this surgery via a minimally invasive method using an exoscope.

Keywords

intradural extramedullary tumor - exoscope - minimally invasive

Patient Consent

A written informed consent has been obtained from the parents. The hand-drawn picture, photos, and video are original work of the authors.




Publication History

Article published online:
03 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Schellinger KA, Propp JM, Villano JL, McCarthy BJ. Descriptive epidemiology of primary spinal cord tumors. J Neurooncol 2008; 87 (02) 173-179
    CrossrefPubMedGoogle Scholar
  • 2 Balasubramanian SC, Nair AR, Saphiya NN, Madan A, Mathews SS. Minimally invasive resection of spinal tumors with tubular retractor: case series, surgical technique, and outcome. World Neurosurg 2021; 149: e612-e62
    CrossrefPubMedGoogle Scholar
  • 3 Montemurro N, Scerrati A, Ricciardi L, Trevisi G. The exoscope in neurosurgery: an overview of the current literature of intraoperative use in brain and spine surgery. J Clin Med 2021; 11 (01) 223
    CrossrefPubMedGoogle Scholar
  • 4 Ricciardi L, Chaichana KL, Cardia A. et al. The exoscope in neurosurgery: an innovative “Point of View”. A systematic review of the technical, surgical, and educational aspects. World Neurosurg 2019; 124: 136-144
    CrossrefPubMedGoogle Scholar
  • 5 Nagesh M, Deora H. Minimally invasive resection of intradural extramedullary tumors using tubular retractors. Neurol India 2023; 71 (01) 28-30
    CrossrefPubMedGoogle Scholar
  • 6 Zhang G, Jia B, Wang P. et al. Pure endoscopic minimally invasive surgery with a non–expandable tubular retractor for intradural extramedullary spinal tumors. Exp Ther Med 2023; 25 (03) 137
    CrossrefPubMedGoogle Scholar