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新型三维机器人数字显微镜（Aeos）在神经外科手术中的评估

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery.

作者信息

Maurer Stefanie, Prinz Vincent, Qasem Lina-Elisabeth, Lucia Kristin Elizabeth, Rösler Judith, Picht Thomas, Konczalla Jürgen, Czabanka Marcus

机构信息

Department of Neurosurgery, University Hospital Frankfurt, 60528 Frankfurt am Main, Germany.

Department of Neurosurgery, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.

出版信息

Cancers (Basel). 2021 Aug 25;13(17):4273. doi: 10.3390/cancers13174273.

DOI:10.3390/cancers13174273
PMID:34503083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8428371/
Abstract

OBJECTIVE

Current literature debates the role of newly developed three-dimensional (3D) Exoscopes in the daily routine of neurosurgical practice. So far, only a small number of cadaver lab studies or case reports have examined the novel Aesculap Aeos Three-Dimensional Robotic Digital Microscope. This study aims to evaluate the grade of satisfaction and intraoperative handling of this novel system in neurosurgery.

METHODS

Nineteen neurosurgical procedures (12 cranial, 6 spinal and 1 peripheral nerve) performed over 9 weeks using the Aeos were analyzed. Ten neurosurgeons of varying levels of training were included after undergoing device instruction and training. Following every surgery, a questionnaire consisting of 43 items concerning intraoperative handling was completed. The questionnaires were analyzed using descriptive statistics.

RESULTS

No intraoperative complications occurred. Surgical satisfaction was ranked high (78.95%). In total, 84.21% evaluated surgical ergonomics as satisfactory, while 78.95% of the surgeons would like to use this system frequently. Image quality, independent working zoom function and depth of field were perceived as suboptimal by several neurosurgeons.

CONCLUSION

The use of Aeos is feasible and safe in microsurgical procedures, and surgical satisfaction was ranked high among most neurosurgeons in our study. The system might offer advanced ergonomic conditions in comparison to conventional ocular-based microscopes.

摘要

目的

当前文献对新开发的三维（3D）外视镜在神经外科日常实践中的作用存在争议。到目前为止，仅有少数尸体实验室研究或病例报告对新型蛇牌Aeos三维机器人数字显微镜进行了研究。本研究旨在评估该新型系统在神经外科手术中的满意度和术中操作情况。

方法

分析了在9周内使用Aeos进行的19例神经外科手术（12例颅脑手术、6例脊柱手术和1例周围神经手术）。10名不同培训水平的神经外科医生在接受设备指导和培训后参与了研究。每次手术后，完成一份由43项关于术中操作的问题组成的问卷。使用描述性统计方法对问卷进行分析。

结果

未发生术中并发症。手术满意度较高（78.95%）。总体而言，84.21%的人认为手术人体工程学令人满意，而78.95%的外科医生希望经常使用该系统。几位神经外科医生认为图像质量、独立工作变焦功能和景深不尽人意。

结论

在显微外科手术中使用Aeos是可行且安全的，在我们的研究中，大多数神经外科医生对手术的满意度较高。与传统的目镜式显微镜相比，该系统可能提供更先进的人体工程学条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/9117c9ee0b40/cancers-13-04273-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/b5781ab71b6a/cancers-13-04273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/7ea9460062bb/cancers-13-04273-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/6bbb43151a47/cancers-13-04273-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/75ba6a97ec2b/cancers-13-04273-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/c3b619f6eef6/cancers-13-04273-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/97b138cf6602/cancers-13-04273-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/358809b7438d/cancers-13-04273-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/a4595168cfea/cancers-13-04273-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/414b6e7b7005/cancers-13-04273-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/9117c9ee0b40/cancers-13-04273-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/b5781ab71b6a/cancers-13-04273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/7ea9460062bb/cancers-13-04273-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/6bbb43151a47/cancers-13-04273-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/75ba6a97ec2b/cancers-13-04273-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/c3b619f6eef6/cancers-13-04273-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/97b138cf6602/cancers-13-04273-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/358809b7438d/cancers-13-04273-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/a4595168cfea/cancers-13-04273-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/414b6e7b7005/cancers-13-04273-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229f/8428371/9117c9ee0b40/cancers-13-04273-g010.jpg

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