University Hospital of Coventry & Warwickshire, Clifford Bridge Road, Coventry, West Midlands, CV2 2DX, UK.
Eye (Lond). 2021 Nov;35(11):3137-3140. doi: 10.1038/s41433-020-01355-3. Epub 2021 Jan 19.
Intraoperative imaging is a desirable tool in oculoplastic surgery; however, there are few modalities which allow surgeons to capture and edit the images in real time without compromising the sterility of the surgical field. We describe the set-up of the VITOM® exoscope system based on our 5 years' experience of using it as an effective intraoperative video imaging and teaching modality for extraocular surgery.
The VITOM® is a specially designed exoscope mounted onto a versatile mechanical arm. It is attached to a high definition (HD) digital camera displayed on the HD video monitor of a standard endoscopy stack. This technology has been utilised in other surgical subspecialties, but there is no documented use within extraocular surgery.
The exoscope was simple to set-up and allowed real-time recording and editing with an HD image display system. The theatre team were able to view the precise surgical steps, contributing to improved theatre flow. Trainees reported that the VITOM® images significantly improved their visualisation and understanding of key surgical anatomy and steps.
Our experience showed that the VITOM® exoscope is an excellent intraoperative video imaging and teaching aid, as it allows real-time capture and editing of open surgery and seems to improve theatre flow. With newer models using 3D stereoscopic vision, it could be further evaluated as a heads-up viewing system within extraocular and oculoplastic surgery.
术中成像术是眼整形手术中的一种理想工具；然而，很少有方法可以让外科医生在不影响手术无菌环境的情况下实时捕捉和编辑图像。我们描述了 VITOM® 手术显微镜系统的设置，该系统是基于我们 5 年来使用它作为一种有效的眼外手术术中视频成像和教学模式的经验。
VITOM® 是一种专门设计的手术显微镜，安装在一个多功能机械臂上。它连接到高清晰度（HD）数字摄像机，显示在标准内窥镜系统的 HD 视频监视器上。这项技术已经在其他外科亚专业中得到应用，但在眼外手术中尚未有记录。
手术显微镜易于设置，并允许使用高清图像显示系统进行实时记录和编辑。手术团队能够观察到精确的手术步骤，有助于提高手术流程。学员们报告说，VITOM® 图像显著提高了他们对关键手术解剖结构和步骤的可视化和理解。
我们的经验表明，VITOM® 手术显微镜是一种出色的术中视频成像和教学辅助工具，因为它允许实时捕捉和编辑开放性手术，并且似乎可以提高手术流程。随着使用 3D 立体视觉的新型号的出现，它可以进一步评估作为眼外和眼整形手术中的抬头式观察系统。
