Toda Hiroki, Hashikata Hirokuni, Ishibashi Ryota
Department of Neurosurgery, Tazuke Kofukai Medical Research Institute Kitano Hospital, Osaka, Osaka, Japan.
Neurosurg Focus Video. 2024 Jan 1;10(1):V12. doi: 10.3171/2023.10.FOCVID23122. eCollection 2024 Jan.
The 4K 3D exoscope system is becoming increasingly used in neurosurgery. Its 3D ultra-high-definition image is valuable in identifying and dissecting the delicate neural and vascular structures during microvascular decompression. In this video, the authors describe several nuances and details to perform the exoscopic microvascular decompression, including the exoscope layout and the modified supine position. Several illustrative case presentations highlight the benefits of exoscopic surgery. The authors' exoscopic microvascular decompression series of 159 patients showed noninferior surgical outcomes compared to the operative microscope with no significant increase in surgical risk. In conclusion, an exoscope can be a practical alternative to performing microvascular decompression. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23122.
4K 3D 外置摄像头系统在神经外科手术中的应用越来越广泛。其 3D 超高清图像对于在微血管减压术中识别和解剖精细的神经和血管结构非常有价值。在本视频中，作者描述了进行外置摄像头辅助微血管减压术的几个细微差别和细节，包括外置摄像头的布局和改良仰卧位。几个实例病例展示突出了外置摄像头辅助手术的优势。作者对 159 例患者进行的外置摄像头辅助微血管减压术系列研究表明，与手术显微镜相比，手术效果不逊色，且手术风险没有显著增加。总之，外置摄像头可作为进行微血管减压术的一种实用替代方案。视频可在此处查看：https://stream.cadmore.media/r10.3171/2023.10.FOCVID23122 。
