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Evaluation of 3D Robotic-Guided Exoscopic Visualization in Microneurosurgery.
Keric, Naureen; Krenzlin, Harald; Kurz, Elena; Wesp, Dominik M A; Kalasauskas, Darius; Ringel, Florian.
Afiliación
  • Keric N; Department of Neurosurgery, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany.
  • Krenzlin H; Department of Neurosurgery, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany.
  • Kurz E; Department of Neurosurgery, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany.
  • Wesp DMA; Department of Neurosurgery, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany.
  • Kalasauskas D; Department of Neurosurgery, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany.
  • Ringel F; Department of Neurosurgery, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany.
Front Surg ; 8: 791427, 2021.
Article en En | MEDLINE | ID: mdl-35265659
Objective: The three-dimensional (3D) exoscope is a novel apparatus introduced in recent years. Although an operating microscope (OM) is customarily used, this novel application offers several advantages. Therefore, this study aimed to determine the feasibility of deploying a robotic-guided 3D-exoscope for microneurosurgery and gauge its subsequent performance. Methods: The use of a 3D exoscope was compared with that of OM during 16 surgical procedures. Postoperatively, surgeons completed an eight-item Likert-scale satisfaction survey. As a second step, a predefined surgical task was then undertaken by surgeons with varying levels of experience, assessing the time entailed. Two questionnaires, the satisfaction survey and NASA task load index (NASA-TLX), were administered. Results: During routine procedures, the exoscope proved superior in magnification and ergonomic maintenance, showing inferior image contrast, quality, and illumination. It again ranked higher in magnification and ergonomic maintenance during the suturing task, and the OM excelled in treatment satisfaction and stereoscopic orientation. Workload assessment using the NASA-TLX revealed no difference by modality in the pairwise analysis of all components. At varying levels of experience, beginners bear a significantly higher burden in all principle components than mid-level and expert participants (p = 0.0018). Completion times for the suturing task did not differ (p = 0.22). Conclusion: The quality of visualization by 3D exoscope seems adequate for treatment and its ergonomic benefit is superior to that of OM. Although experienced surgeons performed a surgical simulation faster under the OM, no difference was evident in NASA-TLX surveys. The 3D exoscope is an excellent alternative to the OM.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: Front Surg Año: 2021 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: Front Surg Año: 2021 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza