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Vol. 34. Issue 1.
Pages 48-52 (January - February 2023)
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Vol. 34. Issue 1.
Pages 48-52 (January - February 2023)
Case Report
High definition 4K-three-dimensional exoscope for removal of a C1-C2 meningioma: Technical case report
Meningioma espinal C1-C2 extirpado con un exoscopio tridimensional y resolución 4K: reporte técnico de caso clínico
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Stefano Peron
Corresponding author
stefano.peron@asst-ovestmi.it

Corresponding author.
, Angelo Rusconi, Matteo Minotti, Roberto Stefini
Neurosurgical Unit, Department of Neurosciences, ASST Ovest Milanese – Legnano Hospital, Legnano (Milan), Italy
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Abstract

In recent years, the exoscope has been proposed as an alternative to the microscope when a magnified view of the surgical field is required in spinal surgery. We present a case of a 52-year-old patient in which a meningioma in the upper cervical spine (C1-C2) was removed using a 4K-three-dimensional (3D) exoscope. The advantages of surgical removal of an intradural spinal tumor using an exoscope are illustrated, focusing mainly on vision quality and ergonomics. In addition, some technical details regarding the operating room setup are provided. Based on this experience, a 4K-3D exoscope can be useful for spinal tumor surgery when high magnification of anatomical details is required, allowing the surgeon to operate in a comfortable position throughout the surgical procedure.

Keywords:
4K-3D images
Exoscope
Spinal meningioma
Spinal microsurgery
Resumen

En los últimos años, el exoscopio se ha propuesto como alternativa al microscopio cuando se requiere una visión ampliada del campo quirúrgico, incluso en la cirugía de la columna vertebral. Presentamos un caso clínico de un paciente de 52 años en el que se extirpó un meningioma en la columna cervical superior (C1-C2) utilizando un exoscopio tridimensional con resolución 4K (4K-3D). Se ilustran las ventajas de la extirpación quirúrgica de un tumor espinal intradural con exoscopio, centrándose principalmente en la calidad de la visión y en la ergonomía. Además, se ofrecen algunos detalles técnicos sobre la configuración del quirófano. Nuestra experiencia sugiere que un exoscopio 4K-3D puede ser muy útil para la cirugía de tumores espinales cuando se requiere una gran ampliación de los detalles anatómicos, permitiendo también al cirujano operar en una posición cómoda durante todo el procedimiento quirúrgico.

Palabras clave:
Imágenes 4K-3D
Exoscopio
Meningioma espinal
Microcirugía espinal

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