European Journal of Cardiovascular Medicine

Background: Exoscopes have emerged as a promising and reliable substitute or supplement to the conventional binocular surgical microscope in procedures such as brain tumour and skull base surgery, aneurysm clipping, as well as complex cervical and lumbar spine surgery. They offer a safe and efficient option, potentially paving the way for a groundbreaking era in the realm of innovative tools and techniques within the field of neurosurgery. Aims And Objectives: The study was conducted to find the practicality, advantages and disadvantages of exoscope assistance rather than use of conventional microscope in ICSOL surgeries. Material And Methods: This Prospective study included patients admitted with intracranial space occupying lesions under department of neurosurgery, GRMC and associated J.A. group of Hospitals from April 2023 to May 2023 who underwent surgery. No randomisation done.  Results: Out of a total of 9 patients, the male population accounted for 57%, while the female population comprised 43%. More than half of the patients, specifically 66.6%, were aged 40 years or older. The prevailing condition among most patients was glioma with a combination of solid and cystic components. During the utilisation of the exoscope, the overall rate of surgical complications was 11.1%. These complications exhibited a similar profile to those observed in patients who underwent the same procedures with the traditional operating microscope. Moreover, there was an overall incidence rate of 11% for switching from the exoscope to the operating microscope during the course of surgery. Conclusion-The utilisation of the exoscope has consistently yielded positive surgical outcomes, surpassing the results achieved with the operating microscope, particularly in surgeries for intracranial space-occupying lesions (ICSOL). The exoscope has emerged as a secure alternative to the traditional operative microscope for common brain procedures, offering several notable advantages. These include user-friendly simplicity, improved 3D visualisation, and enhanced magnification of the surgical field. These advancements have contributed to better surgical results and overall success in ICSOL surgeries.