Optimizing Visualization in Endoscopic Spine Surgery
Optimizing Visualization in Endoscopic Spine Surgery
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DOI：
10.1093/ons/opaa382
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发表时间：
2021-07-01
影响因子：
2.3
通讯作者：
Wang, Michael Y.
中科院分区：
文献类型：
--
作者：
Basil, Gregory W.;Kumar, Vignessh;Wang, Michael Y.
鉴于脊柱内窥镜手术的固有局限性，适当的照明和可视化是非常重要的。这些限制包括视野小，定向障碍的潜在可能性大，工作套管小。尽管存在这些缺点，但现代内镜手术已经发展，必须在改善和增强可视化方面取得进一步进展，以提高内镜手术的安全性和有效性。然而，为了了解潜在的改进途径，首先需要在现代内窥镜手术背后的物理原理的坚实基础。建立了这些原则之后，可以考虑使用新的技术来增强可视化。最引人注目的是利用光转换、组织操纵和图像处理概念的技术。这些增强可视化的广泛类别在其他外科专科中已经建立，包括光学色内窥镜、荧光成像和三维内窥镜等技术。这些技术在脊柱内窥镜检查中有明确的应用，并代表了未来研究的重要途径。
Given the inherent limitations of spinal endoscopic surgery, proper lighting and visualization are of tremendous importance. These limitations include a small field of view, significant potential for disorientation, and small working cannulas. While modern endoscopic surgery has evolved in spite of these shortcomings, further progress in improving and enhancing visualization must be made to improve the safety and efficacy of endoscopic surgery. However, in order to understand potential avenues for improvement, a strong basis in the physical principles behind modern endoscopic surgery is first required. Having established these principles, novel techniques for enhanced visualization can be considered. Most compelling are technologies that leverage the concepts of light transformation, tissue manipulation, and image processing. These broad categories of enhanced visualization are well established in other surgical subspecialties and include techniques such as optical chromoendoscopy, fluorescence imaging, and 3-dimensional endoscopy. These techniques have clear applications to spinal endoscopy and represent important avenues for future research.