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O-ARM navigation in tubular retractor-assisted minimal invasive parafascicular approach: technical note.
Genel, Oktay; Price, Sally; Marchi, Francesco; Elhag, Ali; WroeWright, Oliver; Mirallave-Pescador, Ana; Bibby, Steven; Ashkan, Keyoumars; Vergani, Francesco; Bhangoo, Ranjeev; Lavrador, José.
Afiliación
  • Genel O; School of Medicine, King's College London, London SE1 1UL, United Kingdom.
  • Price S; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Marchi F; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Elhag A; Department of Neurosurgery, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano 6900, Switzerland.
  • WroeWright O; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Mirallave-Pescador A; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Bibby S; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Ashkan K; Department of Neurophysiology, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Vergani F; Department of Neuroradiology, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Bhangoo R; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
  • Lavrador J; Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.
J Surg Case Rep ; 2024(8): rjae036, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39119532
ABSTRACT
Trans-sulcal minimally invasive parafascicular surgery is an emerging technique to approach deep lesions with minimal brain retraction. Localization of the tubular retractor during surgery is critical, and intraoperative magnetic resonance imaging and neuronavigation present limitations. We describe the intraoperative use of O-Arm® coupled with pre-operative tractography to precisely localize the tubular retractor. With air acting as contrast, the tubular retractor was localized in three dimensions, without any additional disruption to white matter tracts or nearby vascular structures. We conclude that visualization of tubular retractor using an intraoperative computerized tomography scan is a safe and feasible adjunct in resection of deep lesions via a minimally invasive approach.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido