4K 3-dimensional video microscope system (orbeye) for transsphenoidal pituitary surgery.
4K 3-dimensional video microscope system (orbeye) for transsphenoidal pituitary surgery.
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DOI：
10.1007/s00701-021-04762-x
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发表时间：
2021-08
影响因子：
2.4
通讯作者：
Flitsch J
中科院分区：
文献类型：
--
作者：
Rotermund R;Regelsberger J;Osterhage K;Aberle J;Flitsch J
在以前关于外窥镜经验的报道中，这项新技术并不适用于经蝶窦垂体手术。作为一个专门的垂体手术中心，我们使用了4K 3D视频显微镜(Orbeye，奥林巴斯)来评估该系统在经蝶垂体手术中的应用，并与传统显微镜进行了比较。我们报告296例在单一机构进行的Orbeye手术。每一次手术后，由外科医生进行标准化的主观评估进行观察性研究。在匹配的队列中，增加了一项客观测量，以比较外视镜和显微镜检查方法，包括手术时间和术后初始缓解率。这些患者表现出各种各样的病理改变。使用4K 3D外窥镜时，无严重事件及轻微并发症发生。在任何一种情况下，都没有必要重新使用显微镜。与我们的显微外科手术组相比，在手术持续时间、并发症或切除范围方面没有显著差异。外科医生评价Orbeye在器械尺寸、定位、外科医生的人体工程学、学习曲线、图像分辨率和高倍率方面都是有益的。Orbeye Excope具有光学和数字变焦选项，以及4K图像分辨率和3D可视化，与显微镜相比，具有更好的深度感知和灵活性。分屏模式提供了内窥镜的互补优势，可能会增加侧位观察的可能性，但在下一步必须与内窥镜经蝶窦手术进行比较。
In previous reports on experiences with an exoscope, this new technology was not found to be applicable for transsphenoidal pituitary surgery. As a specialized center for pituitary surgery, we were using a 4K 3D video microscope (Orbeye, Olympus) to evaluate the system for its use in transsphenoidal pituitary surgery in comparison to conventional microscopy. We report on 296 cases performed with the Orbeye at a single institution. An observational study was conducted with standardized subjective evaluation by the surgeons after each procedure. An objective measurement was added to compare the exoscopic and microscopic methods, involving surgery time and the initial postoperative remission rate in matched cohorts. The patients presented with a wide range of pathologies. No serious events or minor complications occurred based on the usage of the 4K 3D exoscope. There was no need for switching back to the microscope in any of the cases. Compared to our microsurgically operated collective, there was no significant difference regarding duration of surgery, complications, or extent of resection. The surgeons rated the Orbeye beneficial in regard to instrument size, positioning, surgeon’s ergonomics, learning curve, image resolution, and high magnification. The Orbeye exoscope presents with optical and digital zoom options as well as a 4K image resolution and 3D visualization resulting in better depth perception and flexibility in comparison to the microscope. Split screen mode offers the complementary benefit of the endoscope which may increase the possibilities of lateral view but has to be evaluated in comparison to endoscopic transsphenoidal procedures in the next step.
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影响因子：
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作者：
Belykh E;George L;Zhao X;Carotenuto A;Moreira LB;Yağmurlu K;Bozkurt B;Byvaltsev VA;Nakaji P;Preul MC
通讯作者：
Preul MC
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通讯作者：
Berci, George
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Mamelak, Adam N.;Nobuto, Toshiko;Berci, George
通讯作者：
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作者：
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通讯作者：
Mayberg, Marc R.
影响因子：
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作者：
Ahmad, Faisal I.;Mericli, Alexander F.;Selber, Jesse C.
通讯作者：
Selber, Jesse C.