3D Robotic-Assisted Exoscope transforms brain surgery for children in Glasgow

Scotland’s youngest patients are benefiting from a new surgical innovation with the introduction of 3D robotic technology at the Royal Hospital for Children (RHC), Glasgow.

The hospital has become the first in Scotland to install the B. Braun Aesculap Aeos® 3D Robotic‑Assisted Exoscope, a world‑class system designed to enhance precision during complex brain surgery and improve outcomes for children requiring neurosurgical care.

The advanced technology provides surgeons with exceptional image quality, enhanced depth perception and powerful illumination, allowing greater accuracy during some of the most delicate procedures. By offering highly detailed, three‑dimensional visualisation, the system supports surgeons to operate with increased confidence and control when treating children with conditions such as brain tumours¹.

As well as clinical benefits for patients, the technology has been designed with surgeon wellbeing in mind. Unlike traditional microscopes that require prolonged heads‑down positioning, the Aeos® system uses a heads‑up 3D display, enabling surgeons to work in a more natural, upright posture and reducing physical strain.

Mr Roddy O’Kane, Consultant Neurosurgeon at NHS Greater Glasgow and Clyde, said: “Traditionally, neurosurgery meant working for hours with your eyes fixed to microscope eyepieces. 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 visualisation can make a real difference. The ability to see more clearly and reach more effectively supports safer surgery and, ultimately, better outcomes.”

The system is also transforming how teams work together in theatre and how future surgeons are trained. Large high‑definition screens allow the entire surgical team, including trainees and students, to observe procedures in real‑time, in full 3D².

The Royal Hospital for Children in Glasgow was recently named a Centre for Excellence for the care of children with brain tumours. Following a trial period last year, the neurosurgery team has now fully integrated the Aesculap Aeos® system into clinical practice.

Ms Emer Campbell, Clinical Lead and Consultant Neurosurgeon at NHS Greater Glasgow and Clyde, said: “We’re delighted to have this technology in place. Beyond the clear benefits for our patients, we’re already seeing how it enhances teamwork, workflow and training in theatre.

“The ability for the wider team to clearly see and understand each step of complex surgery is a major advance. It’s proving to be an invaluable tool for training surgical residents and for explaining intricate procedures through outstanding visualisation.”

Verena Vogel, Digital Microscopy Specialist at B. Braun, added: “We’re proud to support the Royal Hospital for Children in Glasgow as they continue to lead the way in paediatric neurosurgical innovation. Their commitment to adopting advanced technologies reflects a shared focus on improving care for patients and supporting surgical teams.”