Experiences with a 3D4K digital exoscope system (ORBEYE) in a wide range of neurosurgical procedures
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Experiences with a 3D4K digital exoscope system (ORBEYE) in a wide range of neurosurgical procedures. / Göttsche, Jennifer; Piffko, Andras; Pantel, Tobias Fabian; Westphal, Manfred; Flitsch, Joerg; Ricklefs, Franz Lennard; Regelsberger, Jan; Dührsen, L.
In: J NEUROL SURG PART A, Vol. 83, No. 6, 11.2022, p. 596-601.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Experiences with a 3D4K digital exoscope system (ORBEYE) in a wide range of neurosurgical procedures
AU - Göttsche, Jennifer
AU - Piffko, Andras
AU - Pantel, Tobias Fabian
AU - Westphal, Manfred
AU - Flitsch, Joerg
AU - Ricklefs, Franz Lennard
AU - Regelsberger, Jan
AU - Dührsen, L
N1 - Thieme. All rights reserved.
PY - 2022/11
Y1 - 2022/11
N2 - BACKGROUND: Exoscopic 3D4K video systems (EX) have recently been introduced as an alternative to conventional operating microscopes (OM). However, experience in handling and setup remains scarce. This study evaluated the practicability of exoscopic surgery in a wide range of procedures.MATERIAL AND METHODS: All EX operations performed between August 2018 and May 2020 were evaluated and compared with procedures using OM. A standardized questionnaire was used to evaluate surgeons' comfort, image quality (including fluorescence modes), and handling.RESULTS: In all, 513 EX operations were performed during the investigated period. EX was generally rated as a valuable surgical tool. In particular, the digital 5-aminolevulinic acid (5-ALA) fluorescence and the comfort level of posture during surgery were stated to be superior to OM (100 and 83%, respectively).CONCLUSION: EX has been used for a significant number of neurosurgical procedures. While presuming that the technical methodology as such will not influence outcome of glioma surgery, proof of equipoise between different techniques expands the spectrum of surgical environments giving neurosurgeons a choice to work according to their preferred ergonomics.
AB - BACKGROUND: Exoscopic 3D4K video systems (EX) have recently been introduced as an alternative to conventional operating microscopes (OM). However, experience in handling and setup remains scarce. This study evaluated the practicability of exoscopic surgery in a wide range of procedures.MATERIAL AND METHODS: All EX operations performed between August 2018 and May 2020 were evaluated and compared with procedures using OM. A standardized questionnaire was used to evaluate surgeons' comfort, image quality (including fluorescence modes), and handling.RESULTS: In all, 513 EX operations were performed during the investigated period. EX was generally rated as a valuable surgical tool. In particular, the digital 5-aminolevulinic acid (5-ALA) fluorescence and the comfort level of posture during surgery were stated to be superior to OM (100 and 83%, respectively).CONCLUSION: EX has been used for a significant number of neurosurgical procedures. While presuming that the technical methodology as such will not influence outcome of glioma surgery, proof of equipoise between different techniques expands the spectrum of surgical environments giving neurosurgeons a choice to work according to their preferred ergonomics.
U2 - 10.1055/a-1768-4060
DO - 10.1055/a-1768-4060
M3 - SCORING: Journal article
C2 - 35144300
VL - 83
SP - 596
EP - 601
JO - J NEUROL SURG PART A
JF - J NEUROL SURG PART A
SN - 2193-6315
IS - 6
ER -
