Enhanced transanal surgery training through a 4K 3D surgical exoscope: a novel approach for transanal surgery.

IF 2.5 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Antonino Spinelli, Leonidas Chardalias, Michele Carvello, Matteo Sacchi, Leandro Siragusa, Carlotta La Raja
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Abstract

Purpose: Recently, exoscope was introduced as a more ergonomic alternative to microscope, mainly in nerve and spinal surgery. Exoscope use in general surgery is still experimental and just few reports are present in literature. Here, we describe for the first time its application in transanal surgery, specifically during the transanal transection and single-stapled anastomosis in ileal-pouch anal anastomosis.

Methods: After completing the proctectomy and pouch formation laparoscopically, two surgeons performed the transanal transection and single-stapled anastomosis using the vision provided by the ORBEYE™ exoscope system with a 3D 4K orbital camera and a 55-inches 3D screen. The transanal procedure was carried out with the surgeons looking at the 3D screen rather than at the operating field.

Results: The system subjectively provided excellent operative view thanks to the magnification capacity and the high resolution. The ergonomics was improved compared to classical transanal surgery, allowing the operators and observers to have the same view in a comfortable position. In particular, the exoscope magnified vision allowed for clearer demonstration of techniques to trainees.

Conclusions: This is the first report on the intraoperative application of the ORBEYE™ surgical exoscope in transanal surgery. The magnified vision allowed precise movements and the system appeared potentially a ground-breaking tool for surgical training. The ability to project high-quality images to observers make it ideal for teaching complex transanal procedures. Further studies are encouraged to validate this approach into standard colorectal practice.

通过 4K 3D 外科外窥镜加强经肛门手术培训:经肛门手术的新方法。
目的:最近,外窥镜作为显微镜的一种更符合人体工学的替代品被引入,主要用于神经和脊柱手术。外窥镜在普通外科手术中的应用仍处于试验阶段,文献中的报道寥寥无几。在此,我们首次描述了其在经肛门手术中的应用,特别是在回肠袋肛门吻合术中的经肛门横断和单缝吻合过程中:方法:在腹腔镜下完成直肠切除术和肛袋形成术后,两名外科医生使用 ORBEYE™ 外窥镜系统提供的视野进行了经肛门横断和单缝吻合术,该系统配有 3D 4K 轨道摄像头和 55 英寸 3D 屏幕。经肛门手术是在外科医生看着三维屏幕而不是手术视野的情况下进行的:结果:凭借放大能力和高分辨率,该系统主观上提供了极佳的手术视野。与传统的经肛门手术相比,该系统改善了人体工程学设计,使操作者和观察者都能以舒适的姿势看到相同的视野。特别是,外窥镜的放大视野可以更清晰地向受训者演示技术:这是首次报道 ORBEYE™ 外科外窥镜在经肛门手术中的术中应用。放大的视野允许精确移动,该系统可能成为外科培训的突破性工具。向观察者投射高质量图像的能力使其成为教授复杂经肛门手术的理想工具。我们鼓励开展更多研究,将这种方法验证为标准的结直肠实践。
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
CiteScore
4.90
自引率
3.60%
发文量
206
审稿时长
3-8 weeks
期刊介绍: The International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery aims to publish novel and state-of-the-art papers which deal with the physiology and pathophysiology of diseases involving the entire gastrointestinal tract. In addition to original research articles, the following categories will be included: reviews (usually commissioned but may also be submitted), case reports, letters to the editor, and protocols on clinical studies. The journal offers its readers an interdisciplinary forum for clinical science and molecular research related to gastrointestinal disease.
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