Department of Neurosurgery, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Suite 8003, Los Angeles, CA 90048, USA.
J Clin Neurosci. 2012 Feb;19(2):306-9. doi: 10.1016/j.jocn.2011.07.014. Epub 2011 Nov 10.
A telescope based high definition (HD) video system (VITOM®, Karl Storz GmBH & Co., Tuttlingen, Germany) has recently been proposed as an alternative to the operating microscope for microneurosurgery. It remains unclear which clinical situations will benefit from its advantages. In light of the uncomfortable surgeon position and fatigue often associated with pineal region surgery, we used the VITOM® HD exoscope system to perform an infratentorial supracerebellar resection of a pineal tumor. The VITOM® dramatically improved surgeon comfort and ease of operating by permitting the surgeon to stand upright and in a comfortable position and avoid the need to extend the arm or assume an awkward. position commonly encountered when using the microscope for these approaches. The marked improvement in surgeon comfort afforded by the VITOM® exoscope indicates that this system may have significant advantages over traditional microscope based surgery for tumors of the pineal region approached using an infratentorial supracerebellar approach.
一种基于望远镜的高清（HD）视频系统（VITOM®，Karl Storz GmBH & Co.，德国图特林根）最近被提议作为显微神经外科手术中手术显微镜的替代方案。目前尚不清楚哪些临床情况将受益于其优势。鉴于松果体区域手术常伴随着手术医生不舒服的体位和疲劳，我们使用 VITOM® HD 手术内窥镜系统对松果体肿瘤进行了小脑幕下经小脑上入路切除术。VITOM® 通过允许手术医生站立和保持舒适的体位，避免了伸展手臂或采取显微镜下进行此类手术时常见的尴尬体位，极大地提高了手术医生的舒适度和操作便利性。VITOM® 手术内窥镜带来的手术医生舒适度的显著改善表明，对于采用小脑幕下经小脑上入路切除的松果体肿瘤，该系统可能比传统显微镜手术具有显著优势。
