Educational Impact of an Annotation System Integrated with an Exoscope for Cerebral Aneurysm Surgery: Case Description.

Q2 Medicine

Acta neurochirurgica. Supplement Pub Date : 2025-01-01 DOI:10.1007/978-3-031-89844-0_21

Yoji Tanaka, Motoki Inaji, Daisu Abe, Kazuhide Shimizu, Taketoshi Maehara

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引用次数: 0

Abstract

Purpose: The three-dimensional (3D) exoscope has been reported to have better image quality, ergonomics, and educational outcomes than a microscope. However, whether the exoscope can improve communication between the main surgeon and the mentor remains unclear. This chapter introduces our experience with using an exoscope and an annotation system for surgical education during a left middle cerebral aneurysm surgery in a 63-year-old woman.

Methods: We used an annotation system integrated with a 3D exoscope during aneurysm surgery. The mentor provided instruction by using the annotation system to write information on the surgical monitor.

Results: The aneurysmal neck was broad and required two clips to achieve complete clipping. On a monitor, the mentor drew instructions for inserting the clips. The surgeon successfully accomplished the clipping as instructed. Intraoperative indocyanine green angiography revealed the complete occlusion of the aneurysm. The patient had no postoperative neurological deficit.

Conclusion: A new system using an annotation system integrated with an exoscope for surgical education was introduced and applied to an aneurysm clipping surgery. This system is expected to improve communication between surgeons and mentors and improve surgical safety.

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结合外窥镜的注释系统对脑动脉瘤手术的教育影响：案例描述。

目的：据报道，三维（3D）外窥镜比显微镜具有更好的图像质量，人体工程学和教育效果。然而，外窥镜是否能改善主治医生和导师之间的沟通仍不清楚。本章介绍了我们在63岁女性左脑中动脉瘤手术中使用外窥镜和注释系统进行外科教育的经验。方法：我们在动脉瘤手术中使用了一个集成了三维外窥镜的注释系统。导师指导使用标注系统在手术监护仪上书写信息。结果：动脉瘤颈部较宽，需要两个夹子才能完全夹住。在显示器上，导师绘制了插入剪辑的说明。外科医生按照指示成功地完成了修剪。术中吲哚菁绿血管造影显示动脉瘤完全闭塞。患者术后无神经功能缺损。结论：介绍了一种结合外窥镜的手术教育注释系统，并应用于动脉瘤夹闭手术。该系统有望改善外科医生和导师之间的沟通，提高手术安全性。

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

Acta neurochirurgica. Supplement Medicine-Surgery

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： In addition to the regular journal, "Acta Neurochirurgica" publishes 3-4 supplement volumes per year. These comprise proceedings of international meetings or other material of general neurosurgical interest.