Department of Neurosurgery, Seirei Hamamatsu General Hospital, Hamamatsu, 430-8558 Shizuka, Japan.
Comprehensive Epilepsy Center, Seirei Hamamatsu General Hospital, Hamamatsu, 430-8558 Shizuka, Japan.
J Integr Neurosci. 2022 Jan 28;21(1):39. doi: 10.31083/j.jin2101039.
The exoscope is a new form of optic device that has begun to be used in the last decade. The exoscope provides high-quality magnification and illumination at depth, allowing easy manipulation of surgical instruments even in narrow surgical fields. Exoscopic corpus callosotomy (CC) has not been reported. We report herein our initial experience with the utility of exoscopic CC. A 3-year-old boy diagnosed with West syndrome at 4 months old was referred to our hospital. As the seizure spasms were considered to carry a risk of severe traumatic injury, we performed exoscopic CC as palliative therapy. An EX VITOM 3D exoscope and 4K-3D surgical monitor were used during the procedure. No surgical complications that could be related to exoscope use were noted. Operative time for exoscopic CC was comparable to that for microscopic CC, despite a lack of previous experience with the equipment. Stereoscopic vision was easily obtained. The exoscope was perceived as providing higher quality magnification. We report our first clinical experience of exoscopic CC. The exoscope appears useful in the field of epilepsy surgery.
外窥镜是一种新的光学设备形式，在过去十年中开始得到应用。外窥镜在深度提供高质量的放大和照明，允许即使在狭窄的手术领域也能轻松操作手术器械。外窥镜胼胝体切开术 (CC) 尚未报道。我们在此报告我们在使用外窥镜 CC 方面的初步经验。一名 3 岁男孩在 4 个月大时被诊断为 West 综合征，被转介到我们医院。由于考虑到癫痫发作痉挛可能会造成严重的创伤性损伤，我们进行了外窥镜 CC 作为姑息性治疗。在手术过程中使用了 EX VITOM 3D 外窥镜和 4K-3D 手术监视器。未注意到与外窥镜使用相关的任何手术并发症。尽管之前没有使用该设备的经验，但外窥镜 CC 的手术时间与显微镜 CC 相当。立体视觉很容易获得。外窥镜被认为提供了更高质量的放大。我们报告了首例外窥镜 CC 的临床经验。外窥镜在癫痫手术领域似乎很有用。
