Mercante Giuseppe, Costantino Andrea, De Virgilio Armando, Ferreli Fabio, Spriano Giuseppe
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20090 Pieve Emanuele (MI) Italy.
Otorhinolaryngology Unit, IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano (MI), Italy.
Surg Innov. 2023 Apr;30(2):205-209. doi: 10.1177/15533506221097553. Epub 2022 May 9.
The high-definition 3D exoscope is an innovative and promising tool that was recently introduced in the clinical practice. It may be used during open surgical procedures to enhance the ability to perform precise dissection of fine structures. We describe our preliminary experience with the 3D exoscope in thyroid surgery, discussing potential advantages of this system.
A high-definition 3D exoscope (3D VITOM) mounted on the VERSACRANE holding system (Karl Storz, Tuttlingen, Germany) was used to perform open thyroid surgery.
The 3D exoscope was used in three patients without significant intra-operative delay or complications. Both thyroidectomy and central compartment dissection were performed. The 3D exoscope allows to perform precise dissection in the identification and preservation of the recurrent laryngeal nerve and the parathyroid glands.
3D exoscope-assisted thyroid surgery seems to be feasible and safe. Further studies should be encouraged to analyze potential clinical benefit in the post-operative period.
高清3D外视镜是一种创新且有前景的工具，最近已引入临床实践。它可在开放手术过程中使用，以增强对精细结构进行精确解剖的能力。我们描述了我们在甲状腺手术中使用3D外视镜的初步经验，并讨论了该系统的潜在优势。
使用安装在VERSACRANE固定系统（德国图特林根卡尔·史托斯公司）上的高清3D外视镜（3D VITOM）进行开放性甲状腺手术。
3D外视镜应用于3例患者，术中无明显延迟或并发症。同时进行了甲状腺切除术和中央区淋巴结清扫。3D外视镜有助于在识别和保留喉返神经及甲状旁腺时进行精确解剖。
3D外视镜辅助甲状腺手术似乎可行且安全。应鼓励进一步研究分析其在术后阶段的潜在临床益处。
