Minimally invasive technologies are opening up new options in the field of neurosurgery, especially in the diagnosis and therapy of defects of the intracranial ventricles and the skull base. Endoscopes with different viewing angles allow a view of the anatomy of the brain, which is not possible with a microscope. The use of special endoscopes, with or without working channels, and dedicated micro instruments enable the surgeon to perform more advanced operative interventions.

A wide variety of interventions can be performed by an entirely endoscopic procedure, e.g., the removal of intraventricular cysts or tumors or the creation of the transnasal access to the pituitary gland and the skull base.
Another field of application is the so-called endoscopically assisted micro­neurosurgery which utilizes endoscopes to perform high-risk interventions in order to inspect areas that cannot be directly visualized and thus greatly enhances the safety of neurosurgical interventions.

KARL STORZ offers a wide range of instruments for intracranial interventions as well as for approaches to and procedures in the skull base area, complemented with a special pediatric portfolio. The scope of products is rounded off with a high-speed motor system with a multitude of drill, craniotomy and perforator handpieces.


VITOM® 3D – 3D Visualization for Neurosurgery

The VITOM® 3D system provides a solution for the visualization of microsurgical and open surgical interventions. Application possibilities are similar to that of the operating microscope.1 The system is controlled via the IMAGE1 PILOT which is mounted on the OR table in close proximity to the surgeon.

  • Smaller, lighter and more compact than an operating microscope2
  • Lower acquisition costs and creates synergistic effects with endoscopy by using the same video tower – thus combining the benefits of endoscopy and microscopy1
  • Ergonomic work – the user is not confined to the eyepiece1
  • Improved workflow – the OR team can view the procedure in the same image quality as the surgeon1


1 Oertel: Vitom-3D for Exoscopic Neurosurgery: Initial Experience in Cranial and Spinal Procedures, 
World Neurosurgery (105), September 2017, p. 161
2 Siller: A high-definition 3-dimensional exoscope as an alternative to the operating microscope in spinal microsurgery