高清晰度三维体外望远镜(exoscope)在脊柱侧位手术中的应用价值。

Q1 Medicine
Journal of spine surgery Pub Date : 2025-06-27 Epub Date: 2025-04-23 DOI:10.21037/jss-24-123
Yong Yao Tan, Siu Kei David Mak, Ree Yi Koh, Terry Hong Lee Teo
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引用次数: 0

摘要

背景:侧位腰椎椎体间融合术(LLIF)作为腰椎退行性疾病患者的微创手术选择越来越受欢迎。然而,考虑到微创的性质,外科受训者和助理努力从外科医生的角度来想象手术过程。因此,本研究旨在评估在LLIF期间使用体外望远镜(exoscope)的教育效益。方法:本调查在樟宜总医院进行。所有参与有或没有使用外窥镜的LLIF病例的初级外科医生(jsd)和擦洗护士(ScNs)都被纳入调查。他们回答了一组7个问题(得分为1到5),以评估他们在使用外窥镜时的学习经历。用四分位范围(IQR)报告得分的中位数。结果:共纳入12名受试者。他们报告了在浅表剥离[中位评分=4.5 (IQR, 4-5)]和深部剥离[中位评分=5 (IQR, 5-5)]期间解剖结构的可视化增强。对椎间盘间隙解剖的理解[中位评分=5 (IQR, 5-5)]和对手术的整体评价[中位评分=5 (IQR, 4.25-5)]也给出了类似的评分。参与者发现外窥镜在手术可视化方面更符合人体工程学[中位评分=5 (IQR, 4-5)],并注意到LLIF手术的知识有了显著提高[中位评分=5 (IQR, 4-5)]。他们强烈倾向于在未来的LLIF病例中使用它[中位评分=5 (IQR, 4.25-5)]。结论:外窥镜是侧位入路脊柱手术的宝贵资产,增强了jsd和ScNs的教育经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Educational value of a high-definition three-dimensional extracorporeal telescope (exoscope) in lateral access spine surgery.

Background: Lateral lumbar interbody fusion (LLIF) is gaining popularity as a minimally invasive surgical option for patients with degenerative lumbar conditions. However, given the minimally invasive nature, surgical trainees and assistants struggle to visualise the procedure from the surgeon's perspective. Hence, this study aims to assess the educational benefits of using an extracorporeal telescope (exoscope) during LLIF.

Methods: This survey was conducted in Changi General Hospital. All junior surgical doctors (JSDs) and scrub nurses (ScNs) who participated in LLIF cases with and without the usage of an exoscope were included in the survey. They answered a set of seven questions (scored 1 to 5) to evaluate their learning experience when the exoscope was used. The median of the scores was reported with interquartile range (IQR).

Results: A total of 12 participants were included. They reported enhanced visualisation of anatomy during both superficial dissection [median score =4.5 (IQR, 4-5)] and deep dissection [median score =5 (IQR, 5-5)]. Similar ratings were given for understanding disc space anatomy [median score =5 (IQR, 5-5)] and overall appreciation of the surgery [median score =5 (IQR, 4.25-5)]. Participants found the exoscope to be more ergonomic for visualizing the surgery [median score =5 (IQR, 4-5)] and noted significant knowledge improvement in LLIF procedures [median score =5 (IQR, 4-5)]. They expressed a strong preference for its use in future LLIF cases [median score =5 (IQR, 4.25-5)].

Conclusions: The exoscope is a valuable asset for lateral access spinal procedures, enhancing the educational experience for JSDs and ScNs.

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来源期刊
Journal of spine surgery
Journal of spine surgery Medicine-Surgery
CiteScore
5.60
自引率
0.00%
发文量
24
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