Department of Neurosurgery, I.R.C.C.S. Neurological Institute "Carlo Besta" Foundation, Milan, Italy -
Besta NeuroSim Center, I.R.C.C.S. Neurological Institute "Carlo Besta" Foundation, Milan, Italy -
J Neurosurg Sci. 2023 Dec;67(6):671-678. doi: 10.23736/S0390-5616.22.05516-3. Epub 2022 Apr 5.
Neurosurgical 3D visualizers and simulators are innovative devices capable of defining a surgical strategy in advance and possibly making neurosurgery safer by rehearsing the phases of the operation beforehand. The aim of this study is to evaluate Surgical Theater™ (Surgical Theater LLC, Mayfield, OH, USA), a new 3D neurosurgical planning, simulation, and navigation system, and qualitatively assess its use in the operating room.
Clinical data were collected from 30 patients harboring various types of brain tumors; Surgical Theater™ was used for the preoperative planning and intraoperative 3D navigation. Preoperative and postoperative questionnaires were completed by first and second operators to get qualitative feedback on the system's functionality. Furthermore, we measured and compared the impact of this technology on surgery duration.
Neurosurgeons were overall satisfied when using this rehearsal and navigation tool and found it efficient and easy to use; interestingly, residents considered this device more useful as compared to their more senior colleagues (with significantly higher scores, P<0.05), possibly because of their limited anatomical experience and spatial/surgical rehearsal ability. The length of the surgical procedure was not affected by this technology (P>0.05).
Surgical Theater™ system was found to be clinically useful in improving anatomical understanding, surgical planning, and intraoperative navigation, especially for younger and less experienced neurosurgeons.
神经外科 3D 可视化和模拟器是创新的设备，能够提前定义手术策略，并通过预先演练手术阶段使神经外科手术更安全。本研究的目的是评估 Surgical Theater™（Surgical Theater LLC，Mayfield，OH，USA），一种新的 3D 神经外科规划、模拟和导航系统，并定性评估其在手术室中的使用情况。
从 30 名患有各种类型脑肿瘤的患者中收集临床数据；使用 Surgical Theater™ 进行术前规划和术中 3D 导航。第一和第二操作人员填写术前和术后问卷，以获得对系统功能的定性反馈。此外，我们还测量并比较了这项技术对手术时间的影响。
神经外科医生在使用这种排练和导航工具时总体上感到满意，认为它高效易用；有趣的是，与他们的资深同事相比，住院医师认为该设备更有用（评分明显更高，P<0.05），这可能是因为他们解剖经验有限和空间/手术排练能力有限。这项技术对手术过程的长度没有影响（P>0.05）。
Surgical Theater™ 系统在改善解剖理解、手术规划和术中导航方面具有临床应用价值，尤其对年轻和经验不足的神经外科医生更有帮助。
