Views and Perspectives of Glioma Surgery: A Special Issue from Different Fluorescence-Guided Resections to Different Optics

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Methods and Technologies Development".

Deadline for manuscript submissions: closed (30 June 2021) | Viewed by 4567

Special Issue Editor


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Guest Editor
Department of Neurosurgery, Goethe University Hospital Frankfurt, Schleusenweg 2-16, 60528 Frankfurt, Germany
Interests: glioma surgery; fluorescence; microscope,; exoscope; 5-ALA; sodium fluorescein

Special Issue Information

New techniques have advantages and disadvantages which should be mentioned and discussed in this Special Issue.

Fluorescence-guided surgery has been described to help to differentiate between glioma and normal tissue. Despite the established five-aminolevulinic acid (5-ALA) fluorescence-guided surgery, other techniques are also valuable, like the use of yellow fluorescein sodium.

Furthermore, we have excellent microscopes. Nonetheless, exoscopes find entry into neurosurgery with different positions, angles, perspectives, resulting in advantages and disadvantages.

We will be happy to receive articles for this Special Issue focusing on two topics: fluorescence-guided surgery and exoscopic and/or microscopic surgery.

Prof. Dr. Juergen Konczalla
Guest Editor

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Keywords

  • glioma surgery
  • fluorescence
  • microscope
  • exoscope
  • 5-ALA
  • sodium fluorescein

Published Papers (1 paper)

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Research

14 pages, 5126 KiB  
Article
Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery
by Stefanie Maurer, Vincent Prinz, Lina-Elisabeth Qasem, Kristin Elizabeth Lucia, Judith Rösler, Thomas Picht, Jürgen Konczalla and Marcus Czabanka
Cancers 2021, 13(17), 4273; https://doi.org/10.3390/cancers13174273 - 25 Aug 2021
Cited by 10 | Viewed by 3903
Abstract
Objective: Current literature debates the role of newly developed three-dimensional (3D) Exoscopes in the daily routine of neurosurgical practice. So far, only a small number of cadaver lab studies or case reports have examined the novel Aesculap Aeos Three-Dimensional Robotic Digital Microscope. This [...] Read more.
Objective: Current literature debates the role of newly developed three-dimensional (3D) Exoscopes in the daily routine of neurosurgical practice. So far, only a small number of cadaver lab studies or case reports have examined the novel Aesculap Aeos Three-Dimensional Robotic Digital Microscope. This study aims to evaluate the grade of satisfaction and intraoperative handling of this novel system in neurosurgery. Methods: Nineteen neurosurgical procedures (12 cranial, 6 spinal and 1 peripheral nerve) performed over 9 weeks using the Aeos were analyzed. Ten neurosurgeons of varying levels of training were included after undergoing device instruction and training. Following every surgery, a questionnaire consisting of 43 items concerning intraoperative handling was completed. The questionnaires were analyzed using descriptive statistics. Results: No intraoperative complications occurred. Surgical satisfaction was ranked high (78.95%). In total, 84.21% evaluated surgical ergonomics as satisfactory, while 78.95% of the surgeons would like to use this system frequently. Image quality, independent working zoom function and depth of field were perceived as suboptimal by several neurosurgeons. Conclusion: The use of Aeos is feasible and safe in microsurgical procedures, and surgical satisfaction was ranked high among most neurosurgeons in our study. The system might offer advanced ergonomic conditions in comparison to conventional ocular-based microscopes. Full article
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