Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor

Background: Re-resections is one of the treatment options for recurrence brain tumors, including both benign and malignant brain tumors, such as meningioma and glioblastoma. Re-resection for recurrent brain tumor sometimes needs extension of original craniotomy. However, extending original craniotom...

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Main Authors: Noriyuki Kijima, Manabu Kinoshita, Naoki Kagawa, Yoshiko Okita, Ryuichi Hirayama, Haruhiko Kishima
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751923002220
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author Noriyuki Kijima
Manabu Kinoshita
Naoki Kagawa
Yoshiko Okita
Ryuichi Hirayama
Haruhiko Kishima
author_facet Noriyuki Kijima
Manabu Kinoshita
Naoki Kagawa
Yoshiko Okita
Ryuichi Hirayama
Haruhiko Kishima
author_sort Noriyuki Kijima
collection DOAJ
description Background: Re-resections is one of the treatment options for recurrence brain tumors, including both benign and malignant brain tumors, such as meningioma and glioblastoma. Re-resection for recurrent brain tumor sometimes needs extension of original craniotomy. However, extending original craniotomy is troublesome and can easily damage the adhered brain tissue and reconstruct of bone flap sometimes cause cosmetic problems, thus ideal way to re-resect recurrent brain tumor is to use the same original craniotomy.However, when using an operative microscope, performing re-resections without extending craniotomy requires the surgeon to operate in an awkward position. A recently developed high-definition (4 K-HD) 3-D exoscope system, ORBEYE, can improve this problem. In this study, we analyzed the utility of 4 K-HD 3-D exoscope system, ORBEYE, for re-resecting recurrent brain tumor. Methods: We report 32 cases managed by re-resecting recurrent brain tumor by ORBEYE. Perioperative clinical, surgical, and radiographic data were retrospectively examined. Results: Re-resecting tumors for recurrent brain tumor by ORBEYE were successfully performed for all 32 resections, using ORBEYE, without any severe postoperative neurological deficit. In addition, we could avoid extending original craniotomy as much as possible by adjusting the ORBEYE camera angle. Conclusion: Re-resecting tumors for recurrent brain tumors by ORBEYE are feasible and can avoid extending original craniotomy as much as possible.
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spelling doaj.art-9c3efab0a37d46929667b5b407a93a622024-03-17T07:54:18ZengElsevierInterdisciplinary Neurosurgery2214-75192024-06-0136101939Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumorNoriyuki Kijima0Manabu Kinoshita1Naoki Kagawa2Yoshiko Okita3Ryuichi Hirayama4Haruhiko Kishima5Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan; Corresponding author at: Department of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan; Department of Neurosurgery, Asahikawa Medical University, Asahikawa, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, JapanBackground: Re-resections is one of the treatment options for recurrence brain tumors, including both benign and malignant brain tumors, such as meningioma and glioblastoma. Re-resection for recurrent brain tumor sometimes needs extension of original craniotomy. However, extending original craniotomy is troublesome and can easily damage the adhered brain tissue and reconstruct of bone flap sometimes cause cosmetic problems, thus ideal way to re-resect recurrent brain tumor is to use the same original craniotomy.However, when using an operative microscope, performing re-resections without extending craniotomy requires the surgeon to operate in an awkward position. A recently developed high-definition (4 K-HD) 3-D exoscope system, ORBEYE, can improve this problem. In this study, we analyzed the utility of 4 K-HD 3-D exoscope system, ORBEYE, for re-resecting recurrent brain tumor. Methods: We report 32 cases managed by re-resecting recurrent brain tumor by ORBEYE. Perioperative clinical, surgical, and radiographic data were retrospectively examined. Results: Re-resecting tumors for recurrent brain tumor by ORBEYE were successfully performed for all 32 resections, using ORBEYE, without any severe postoperative neurological deficit. In addition, we could avoid extending original craniotomy as much as possible by adjusting the ORBEYE camera angle. Conclusion: Re-resecting tumors for recurrent brain tumors by ORBEYE are feasible and can avoid extending original craniotomy as much as possible.http://www.sciencedirect.com/science/article/pii/S2214751923002220Re-resectionExoscopeNeurosurgeryOperating microscopeRecurrent Brain Tumor
spellingShingle Noriyuki Kijima
Manabu Kinoshita
Naoki Kagawa
Yoshiko Okita
Ryuichi Hirayama
Haruhiko Kishima
Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor
Interdisciplinary Neurosurgery
Re-resection
Exoscope
Neurosurgery
Operating microscope
Recurrent Brain Tumor
title Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor
title_full Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor
title_fullStr Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor
title_full_unstemmed Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor
title_short Utility of a novel Exoscope, ORBEYE, in re-resection for recurrent brain tumor
title_sort utility of a novel exoscope orbeye in re resection for recurrent brain tumor
topic Re-resection
Exoscope
Neurosurgery
Operating microscope
Recurrent Brain Tumor
url http://www.sciencedirect.com/science/article/pii/S2214751923002220
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