Ma Alison, Xie Nathan, Reidy Joseph, Mobbs Ralph Jasper
Faculty of Medicine, University of New South Wales, Sydney 2052, Australia.
NeuroSpine Surgery Research Group, Sydney, Australia.
J Surg Case Rep. 2024 Aug 28;2024(8):rjae540. doi: 10.1093/jscr/rjae540. eCollection 2024 Aug.
Endoscopic spine surgery has evolved exponentially. However, the two-dimensional (2D) view results in lack of stereoscopic vision and depth perception, contributing to the steep learning curve. This case report recounts a world first trial of a three-dimensional (3D) endoscopic system that converts 2D to 3D images and explores its potential role in the surgical management of degenerative lumbar spine diseases. The 3D endoscopic system was used for two patient cases and both 2D and 3D images were displayed side by side and compared. Advantages of the 3D endoscopic system include increased perception of depth, rapid identification of bleeding points, and greater visualization of anatomical details. Field of view and exposure were identical in 2D and 3D views. Limitations include costs and need for additional equipment. Overall, 3D endoscopy improved depth perception, instrument manoeuvrability, and recognition of anatomical details. This case report can guide further research and training in endoscopic spine surgery.
脊柱内镜手术已呈指数级发展。然而，二维（2D）视野导致缺乏立体视觉和深度感知，这使得学习曲线较陡。本病例报告讲述了一项三维（3D）内镜系统的全球首例试验，该系统可将二维图像转换为三维图像，并探讨其在退行性腰椎疾病手术治疗中的潜在作用。该三维内镜系统用于两例患者，二维和三维图像并排显示并进行比较。三维内镜系统的优点包括增强深度感知、快速识别出血点以及更清晰地显示解剖细节。二维和三维视野中的视野范围和暴露情况相同。局限性包括成本和对额外设备的需求。总体而言，三维内镜检查改善了深度感知、器械可操作性以及对解剖细节的识别。本病例报告可为脊柱内镜手术的进一步研究和培训提供指导。
