How I do it: Tentorial meningioma resection with combination of 3D exoscope and endoscope via subtemporal approach.

Abstract

Deep-seated brain tumors pose a distinctive neurosurgical challenge, as frequently surrounded by eloquent structures. 3D exoscope represents a potential new paradigm for mini-invasive neurosurgery, which shows advantage during the neurosurgical procedure for this kind of challenging cases. Utilizing a combination of 3D exoscopes and endoscopes, we successfully removed a left tentorial meningioma in a patient via a subtemporal keyhole approach. Combination of 3D exoscope and endoscope has the advantages of precise tissue identification, minimized brain traction and enhanced visibility in hidden areas by integrating the strengths of both.