使用SOLOASSIST内镜固定器评估头颈外科手术中的内镜活动范围。
Assessment of the endoscopic range of motion for head and neck surgery using the SOLOASSIST endoscope holder.
作者信息
Kristin Julia, Geiger Robert, Kraus Peter, Klenzner Thomas
机构信息
University Hospital Duesseldorf Head and Neck Surgery, Moorenstrasse 5, 40225, Düsseldorf, Germany.
AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany.
出版信息
Int J Med Robot. 2015 Dec;11(4):418-23. doi: 10.1002/rcs.1643. Epub 2015 Feb 1.
BACKGROUND
A 'third hand' is useful for holding the endoscope during surgery. The SOLOASSIST camera holder (AktorMed GmbH, Germany), which is used for abdominal surgery, is supposed to be modified for head and neck surgery. The aim of this study was to determine the intraoperative hand-held endoscopic range of motion for different surgical procedures and to define the required technical changes.
METHODS
The intraoperative movements of the hand-held endoscope during sinus surgery, rigid laryngoscopy, and lateral skull base surgery were measured and calculated.
RESULTS
The endoscopic range of motion during surgery revealed diverse geometric bodies and volumes. For use in the ENT area, the system must be expanded by a manual release function for the driven axes and two additional lockable axes at the distal end of the arm.
CONCLUSION
Intraoperative endoscopic range of motions in head and neck surgery are highly specific and, as expected, differ from the endoscopic movements in abdominal surgery.
背景
“第三只手”在手术过程中有助于握持内窥镜。用于腹部手术的SOLOASSIST摄像头固定器（德国AktorMed GmbH公司）应针对头颈外科手术进行改进。本研究的目的是确定不同手术操作中术中手持内窥镜的活动范围，并确定所需的技术改进。
方法
测量并计算鼻窦手术、硬质喉镜检查和侧颅底手术中手持内窥镜的术中运动。
结果
手术过程中内窥镜的活动范围呈现出不同的几何体和体积。为用于耳鼻喉科领域，该系统必须通过为驱动轴增加手动释放功能以及在臂的远端增加两个额外的可锁定轴来进行扩展。
结论
头颈外科手术中术中内窥镜的活动范围具有高度特异性，正如预期的那样，与腹部手术中的内窥镜运动不同。
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