ArticleInternational journal of spine surgery2020
Clinical Application of a High Definition Three-Dimensional Exoscope in Anterior Lumbar Interbody Fusion: Technical Note.
Article in International journal of spine surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Exoscope-Assisted Spine Surgery: A Systematic Review From Basic to Complex Pathologies.Cureus · 2025Review
- Exoscope-assisted spine surgery: Current applications and future directions-A short review.World neurosurgery: X · 2025Review
- High-Definition 4K-3D Exoscope in Spine Surgery: A Single-Center Experience and Review of the Literature.Medicina (Kaunas, Lithuania) · 2024Review
- Exoscope-assisted spine surgery: Current applications and future directions.World neurosurgery: X · 2024Review
- Fully neuroendoscopic resection of cerebellopontine angle tumors through a retrosigmoid approach: a retrospective single-center study.Neurosurgical review · 2023Article
- Spinal cord compression in thoracolumbar burst fractures: application of high-definition three-dimensional exoscope in minimally invasive lateral surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Beyond Magnification and Illumination: Ergonomics with a 3D Exoscope in Lumbar Spine Microsurgery to Reduce Musculoskeletal Injuries.Orthopaedic surgery · 2023Article
- High-definition two-dimension video telescope operating monitor-assisted brain and spinal surgery in pediatrics: is it an acceptable substitute for microscopic surgery?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Exoscope as a Teaching Tool: A Narrative Review of the Literature.Frontiers in surgery · 2022Review
- The Exoscope in Neurosurgery: An Overview of the Current Literature of Intraoperative Use in Brain and Spine Surgery.Journal of clinical medicine · 2021Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesVideo-assisted telescope operating monitor (VITOM) or exoscope is currently applied in different surgical specialties with clear visualization advantages in terms of magnification, illumination, and wide field of view. The small and deep surgical field of anterior lumbar interbody fusion (ALIF) seemed to be an ideal setting to assess efficacy of exoscope, also considering limits related to microscopic and endoscopic visualization currently employed.
methodsWe reported our preliminary experience with exoscope in 9 cases of ALIF at L5-S1 level. These data were retrospectively compared with those obtained from an equal sample of ALIF procedures performed with endoscope as visualization instrument. The technical aspects taken into account were time for procedure and blood loss. Reports from the surgeon about ergonomics and confidence with both techniques were also evaluated.
resultsExoscope proved, in our experience, good visualization and ergonomics and unobstructed access to a small and deep surgical field, allowing abundant space to insert and manipulate the instruments.
conclusionsThe instrument contained dimension and its long working distance, superior to endoscope and comparable with operating microscope, showed clear advantages of maneuverability. Moreover, the stereoscopic vision provided by 3-dimensional images proved to be crucial in hand-eye coordination.
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