Robotic exoscopy in intraventricular subependimoma: Case report and review
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https://orcid.org/0000-0003-3743-2141
Adriel Lopez Salazar
https://orcid.org/0000-0002-2280-5681
Manuel Monero
https://orcid.org/0000-0002-6854-1685
David Ricardo Ramirez
https://orcid.org/0009-0003-3943-9096
Ashanti Gutierrez Quintana
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Abstract
Intraventricular surgery represents a technical challenge due to the depth of the lesions, the limited surgical exposure and the risk of damage to eloquent structures. In this context, robotic exoscopy has emerged as an alternative to conventional surgical microscope, providing high-definition three-dimensional visualization, better lighting and ergonomic advantages. The case is presented of a patient with right frontal intraventricular subependimoma, treated by a minimally invasive transfrontal, transulcal microsurgical approach assisted by robotic exoscope. Preoperative planning with neuroimaging allowed the definition of a safe trajectory, minimizing cortical and subcortical disruption. During the procedure, the exoscope facilitated adequate magnification and visualization of the deep field, allowing precise and controlled dissection. Complete resection of the lesion was achieved without intraoperative complications. The patient evolved favorably in the postoperative period, without presenting an aggregate neurological deficit. Among the main advantages of robotic exoscopy are the best surgical
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Subependymoma, minimally invasive surgery, robotic exoscope, intraventricular neoplasms
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