Department of Neurosurgery, Swedish Neuroscience Institute, Seattle, Washington.
Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, California.
Oper Neurosurg (Hagerstown). 2018 Jan 1;14(1):26-28. doi: 10.1093/ons/opx081.
The binocular operating microscope has been the visualization instrument of choice for microsurgical clipping of intracranial aneurysms for many decades.
To discuss recent technological advances that have provided novel visualization tools, which may prove to be superior to the binocular operating microscope in many regards.
We present an operative video and our operative experience with the BrightMatterTM Servo System (Synaptive Medical, Toronto, Ontario, Canada) during the microsurgical clipping of an anterior communicating artery aneurysm. To the best of our knowledge, the use of this device for the microsurgical clipping of an intracranial aneurysm has never been described in the literature.
The BrightMatterTM Servo System (Synaptive Medical) is a surgical exoscope which avoids many of the ergonomic constraints of the binocular operating microscope, but is associated with a steep learning curve. The BrightMatterTM Servo System (Synaptive Medical) is a maneuverable surgical exoscope that is positioned with a directional aiming device and a surgeon-controlled foot pedal. While utilizing this device comes with a steep learning curve typical of any new technology, the BrightMatterTM Servo System (Synaptive Medical) has several advantages over the conventional surgical microscope, which include a relatively unobstructed surgical field, provision of high-definition images, and visualization of difficult angles/trajectories.
This device can easily be utilized as a visualization tool for a variety of cranial and spinal procedures in lieu of the binocular operating microscope. We anticipate that this technology will soon become an integral part of the neurosurgeon's armamentarium.
几十年来，双目手术显微镜一直是颅内动脉瘤显微夹闭术的首选可视化仪器。
讨论最近的技术进步，这些进步提供了新的可视化工具，这些工具在许多方面可能优于双目手术显微镜。
我们展示了一段手术视频和我们在使用 BrightMatterTM Servo System（Synaptive Medical，多伦多，安大略省，加拿大）进行前交通动脉瘤显微夹闭术时的手术经验。据我们所知，该设备从未在文献中用于颅内动脉瘤的显微夹闭术。
BrightMatterTM Servo System（Synaptive Medical）是一种手术内窥镜，它避免了双目手术显微镜的许多人体工程学限制，但与陡峭的学习曲线相关。BrightMatterTM Servo System（Synaptive Medical）是一种操纵性手术内窥镜，通过定向瞄准装置和外科医生控制的脚踏板进行定位。虽然使用该设备具有任何新技术都具有的陡峭学习曲线，但与传统手术显微镜相比，BrightMatterTM Servo System（Synaptive Medical）具有几个优势，包括相对无障碍的手术视野、提供高清图像以及可视化困难角度/轨迹。
该设备可以轻松用作各种颅颈手术的可视化工具，替代双目手术显微镜。我们预计这项技术将很快成为神经外科医生工具包的重要组成部分。
