A 13-year-old boy, Toby Peart, has undergone a complex brain tumor operation in Scotland utilizing a state-of-the-art robotic-assisted 3D exoscope. The procedure took place at the Royal Hospital for Children in Glasgow, part of NHS Greater Glasgow and Clyde, which recently installed the B Braun Aesculap Aeos 3D Robotic Assisted Exoscope.
Toby's journey began in April of the previous year when he started experiencing pins and needles in his left leg. Over several months, his symptoms intensified, prompting an MRI scan that revealed a brain tumor. The tumor, measuring 14mm on the right side of his brain, was found to be non-cancerous.
His father, Marc Peart, described the discovery as a profound shock. "Everything happened incredibly quickly. One day we were expecting to wait a couple of weeks for MRI results and the next we were being told that Toby had a brain tumor and needed specialist treatment in Glasgow," he said. The family was informed that the surgery carried risks, including potential loss of sight or paralysis.
Following the initial surgery in November, Toby experienced weakness and paralysis on his left side. However, he made a remarkable recovery. "A few days later, I woke up and saw him using his right hand to lift his left hand into the air. He looked at me and said: ‘Dad, quick, look, my fingers are doing finger things,’" his father recounted, calling it one of the most memorable moments of his life. Toby's determination was evident as he grew stronger daily, and he was discharged from the hospital just a week after surgery.
The robotic-assisted exoscope system offers significant advantages for surgeons. Unlike traditional microscopes that require them to bend over for extended periods, the Aeos system uses a 'heads-up' 3D display, allowing surgeons to operate in an upright position. This technology provides what NHS Greater Glasgow and Clyde describes as 'exceptional' image quality, powerful illumination, and enhanced depth perception, which are crucial for precision in delicate brain surgery.
Roddy O'Kane, a consultant neurosurgeon at NHS Greater Glasgow and Clyde, highlighted the benefits of the new technology. "Traditionally, neurosurgery meant working for hours with your eyes fixed to microscope eyepieces," O'Kane stated. "This technology allows us to operate upright while gaining views and angles that simply aren't possible with conventional microscopes. For children undergoing brain surgery, that enhanced visualization can make a real difference. The ability to see more clearly and reach more effectively supports safer surgery and, ultimately, better outcomes."
Emer Campbell, clinical lead and consultant neurosurgeon at the health board, expressed enthusiasm for the system, noting its positive impact on patient care, as well as on teamwork, workflow, and training within the operating theater. Toby returned to school in January and is reportedly doing well.
