Minimally Invasive Navigated Foraminal Discectomy via Contralateral Approach Using a 3-Dimensional 4K High-Definition Exoscope: 2-Dimensional Operative Video.
Minimally Invasive Navigated Foraminal Discectomy via Contralateral Approach Using a 3-Dimensional 4K High-Definition Exoscope: 2-Dimensional Operative Video.
复制标题
使用 3 维 4K 高清外窥镜通过对侧入路进行微创导航椎间盘切除术：2 维手术视频。
DOI：
10.1093/ons/opz392
复制
发表时间：
2019
影响因子：
2.3
通讯作者：
D. Langer
中科院分区：
文献类型：
--
作者：
J. Oren;Kevin G. Kwan;Julia R. Schneider;Mitchell Levine;D. Langer
该手术视频首次展示了使用三维4k高清外窥镜（Sony Olympus）进行手术导航椎间孔椎间盘切除术的新型微创技术。椎间孔椎间盘突出的典型方法可能涉及侵犯关节面，导致随后的不稳定，需要融合。1尽管先前已经描述了微创保留关节面的对侧技术，2标准荧光透视的基本定位和笨重的传统手术显微镜的可视化受损仍然存在局限性。3我们证明，高质量的真实的-使用标准的Iso-C术中荧光透视进行三维重建，可以进行时间导航，从而实现术中路由。导航对于管状牵开器的轨迹的调整和对于完全椎间孔减压的确认特别有利。4k高清外窥镜的可视化还可以为狭窄的手术通道提供无与伦比的视野，并允许手术团队参与。从患者处获得了整个手术的知情同意书。
This surgical video is the first to demonstrate a novel minimally invasive technique of utilization of surgically navigated foraminal discectomy using a 3-dimensional 4k high-definition exoscope (Sony Olympus). Typical approaches for foraminal disc herniations may involve violation of the facet resulting in subsequent destabilization requiring fusion.1 Although minimally invasive facet-sparing contralateral techniques have previously been described,2 there is continued limitations stemming from rudimentary localization with standard fluoroscopy and impaired visualization with the bulky traditional operative microscope.3 We demonstrate that high-quality real-time navigation is possible using standard Iso-C intraoperative fluoroscopy for 3-dimensional reconstructions, allowing for intraoperative routing. Navigation is particularly advantageous for adjustments in the trajectory of the tubular retractor and for confirmation of complete foraminal decompression. Visualization from the 4k high-definition exoscope also allows for an unparalleled view of the narrow operative corridor and allows for participation from the operative team. Informed consent was obtained from the patient for the surgery in its entirety.