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CC BY 4.0 · Indian Journal of Neurosurgery 2024; 13(02): 185-188
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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