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1000 Titel
  • 4K 3-dimensional video microscope system (orbeye) for transsphenoidal pituitary surgery
1000 Autor/in
  1. Rotermund, Roman |
  2. Regelsberger, Jan |
  3. Osterhage, Katharina |
  4. Aberle, Jens |
  5. Flitsch, Jörg |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-02-22
1000 Erschienen in
1000 Quellenangabe
  • 163(8):2097-2106
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00701-021-04762-x |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270853/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!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.!##!Method!#!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.!##!Results!#!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.!##!Conclusions!#!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.
1000 Sacherschließung
lokal Digital three-dimensional 4K exoscope
lokal Female [MeSH]
lokal Pituitaries
lokal Adult [MeSH]
lokal Orbeye
lokal Humans [MeSH]
lokal Microsurgery
lokal Transsphenoidal
lokal Original Article - Pituitaries
lokal 4K 3D video microscopy
lokal Neurosurgical Procedures [MeSH]
lokal Male [MeSH]
lokal Learning Curve [MeSH]
lokal Microscopy [MeSH]
lokal Pituitary Diseases/surgery [MeSH]
lokal Imaging, Three-Dimensional [MeSH]
lokal Microsurgery [MeSH]
lokal Pituitary surgery
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-5039-5317|https://frl.publisso.de/adhoc/uri/UmVnZWxzYmVyZ2VyLCBKYW4=|https://frl.publisso.de/adhoc/uri/T3N0ZXJoYWdlLCBLYXRoYXJpbmE=|https://frl.publisso.de/adhoc/uri/QWJlcmxlLCBKZW5z|https://frl.publisso.de/adhoc/uri/RmxpdHNjaCwgSsO2cmc=
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1000 Erstellt am 2023-05-04T13:43:37.910+0200
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1000 Zuletzt bearbeitet Sat Oct 21 00:49:02 CEST 2023
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