In an illustrative embodiment, a surgical system is provided for removing adipose buildup from epidural space of a patient spine including a surgical apparatus including a handle portion and a catheter assembly having a steerable distal tip configured for navigating epidural space of the spine； an endoscopic camera system configured to capture images from the epidural space and to identify a tissue of interest； and a vacuum source in communication with the catheter assembly of the surgical apparatus and configured to provide a negative pressure through a lumen of the catheter assembly to the tissue of interest； a discharge tank configured to capture suctioned tissue from the catheter assembly； and where the surgical apparatus further includes at least one fiber optic cable in communication with the endoscopic camera system.
