ArticlePloS one2026
Minimally-invasive resection of deep-seated subcortical and intraventricular lesions using an integrated camera-port system: A retrospective case series.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Minimally invasive neurosurgery using port-based systems has gained popularity over the past decade to access deep-seated lesions within the brain. These devices typically necessitate use of separate optical and illumination systems. An exception is the Aurora Surgiscope (Integra Corp.) which is a single-use, camera-port retractor with integrated lighting and visualization capabilities. We present our retrospective single-center series using this technology for the treatment of a diverse set of intra-axial lesions to demonstrate the safety and effectiveness of the device for removing deep-seated intracranial targets. A retrospective review was conducted for all adult patients who underwent removal of an intra-axial lesion using the Aurora Surgiscope camera-port from 01/11/2021-31/12/2024 at our institution. Relevant demographic, radiographic, and clinical data were collected and summarized. 25 patients were included in the series (12 females, mean age 52.4 ± 17.7 years). The camera-port system was used to treat a diverse set of pathologies, including colloid cysts (n = 6/25, 24.0%), intraparenchymal hematomas (IPH) (n = 5/25, 20.0%), brain metastases (n = 4/25, 16.0%) and ependymomas/gliomas (n = 4/25, 16.0%). Mean lesion depth was 3.5 cm. Mean lesion diameter was 3.5 cm. Median surgical time was 2.4 hours. Gross total resection was achieved in 12/17 (70.6%) operations where complete resection of the tumor or colloid cyst was the surgical objective. Four patients experienced postoperative neurologic complications, including one patient with transient short-term memory loss, two patients with transient aphasia, and one patient with persistent left-sided weakness. Median post-operative length of stay was 4 days. This case series demonstrates the feasibility of using an integrated camera-port system for the treatment of deep-seated brain lesions. The technology integrates visualization and illumination capabilities with reasonable surgical outcomes.
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