Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-04 DOI:10.1177/15533506241237555
Gede Wirya Kusuma Duarsa, Yudhistira Pradnyan Kloping, Gede Wirya Diptanala Duarsa, Besut Daryanto, Paksi Satyagraha
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引用次数: 0

Abstract

Introduction: Video-assisted telescope operating monitor (VITOM®) with 3D Visualization technology was developed and has been used with favorable results by several surgical specialties. Our study aims to be a preliminary report for initial experience using the VITOM® 3D system for microsurgical varicocelectomy on varicocele patients.

Methods: We performed 35 microsurgical varicocelectomy procedures using the VITOM® 3D system on varying types and grades of varicoceles. The surgeon had the option of using either a 2.5 or 3.5 magnifying loupe in addition to the exoscope for each operation evaluated. The exoscope is a standalone camera head with an integrated 3D telescope and remote control with zoom and focus functions. It is connected to the 3D monitor via a mechanical holding arm. During the procedure, surgeons, assistants, and observers were able to view the 3D high-definition stream displayed on a 26-inch 3D monitor at a convenient viewing angle and distance. The varicocele ligation was performed using a Carl Zeiss Meditec AG microscope.

Results: There were 35 patients with varicocele aged 31.51 years old on average, which were included in this report. Most patients had grade 3 bilateral varicocele (n = 13, 37.1%). All procedures were performed without any intraoperative complications. After the procedures, only a few patients suffered from postoperative complications. Three patients suffered scrotal edema (8.6%), while another had hydrocele (2.9%). The postoperative pain results were also very minimal from .89 1 day after the operation to .26 3 days after the operation.

Conclusion: The VITOM® 3D system showed promise in microsurgical varicocelectomy.

显微外科精索静脉曲张切除术中的视频辅助望远镜操作显示器 3D 系统:初步报告。
简介:具有三维可视化技术的视频辅助伸缩手术监视器(VITOM®)已被开发出来,并在多个外科专科应用,取得了良好的效果。我们的研究旨在初步报告使用 VITOM® 3D 系统对精索静脉曲张患者进行显微外科精索静脉切除术的初步经验:我们使用 VITOM® 3D 系统对不同类型和等级的精索静脉曲张患者实施了 35 例显微外科精索静脉曲张切除术。在每次评估手术中,外科医生除了使用外窥镜外,还可选择使用 2.5 或 3.5 倍放大镜。外窥镜是一个独立的摄影头,带有一个集成的 3D 望远镜和具有变焦和聚焦功能的遥控器。它通过机械固定臂与 3D 显示器相连。在手术过程中,外科医生、助手和观察员可以在方便的视角和距离观看 26 英寸 3D 显示器上显示的 3D 高清流。精索静脉曲张结扎手术是使用卡尔蔡司医疗股份公司的显微镜进行的:本报告共纳入 35 名精索静脉曲张患者,平均年龄为 31.51 岁。大多数患者为双侧精索静脉曲张 3 级(13 人,37.1%)。所有手术均顺利进行,术中未出现任何并发症。手术后,只有少数患者出现术后并发症。三名患者出现阴囊水肿(8.6%),另一名患者出现鞘膜积液(2.9%)。术后疼痛也非常轻微,从术后 1 天的 0.89 到术后 3 天的 0.26:结论:VITOM® 3D系统在精索静脉曲张显微切除术中大有可为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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