Yagi Masao, Sakagami Tomofumi, Shimizu Minaki, Ogino Yuhei, Morita Mizuki, Kawasaki Hiroto, Tomoda Atsushi, Yun Yasutaka, Suzuki Kensuke, Fujisawa Takuo, Iwai Hiroshi
Department of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Shinmachi 2-5-1, Hirakata 573-1010, Osaka, Japan.
J Clin Med. 2024 Dec 26;14(1):47. doi: 10.3390/jcm14010047.
Parotid surgery is generally performed with the naked eye or using surgical loupes. However, this approach has technical disadvantages. Therefore, this study aimed to compare the use of an exoscope with that of loupe for parotidectomies. A retrospective review of patients who underwent partial parotidectomies for parotid tumors was conducted. We examined the approach (anterograde/retrograde), tumor localization (superficial/deep), operative time, volume of intraoperative blood loss, and postoperative complications occurring within 6 months. Overall, 174 patients underwent parotidectomies (90 in the exoscope group, 84 in the loupe group). In parotidectomies using the anterograde approach, the exoscope group had significantly fewer reports of facial nerve palsy than the loupe group. Parotidectomy-related complications other than facial palsy were significantly fewer in the exoscope group. However, the operation time was significantly longer in the exoscope group than in the loupe group. An ORBEYE exoscope provides a magnified view of the surgical field, leading to more accurate operations in parotid surgery and potentially fewer complications.
腮腺手术通常在肉眼直视下或使用手术放大镜进行。然而，这种方法存在技术上的缺点。因此，本研究旨在比较在腮腺切除术中使用电子内窥镜与放大镜的效果。对因腮腺肿瘤接受部分腮腺切除术的患者进行了回顾性研究。我们检查了手术入路（顺行/逆行）、肿瘤定位（浅表/深部）、手术时间、术中失血量以及术后6个月内出现的并发症。总体而言，174例患者接受了腮腺切除术（电子内窥镜组90例，放大镜组84例）。在采用顺行入路的腮腺切除术中，电子内窥镜组面神经麻痹的报告明显少于放大镜组。电子内窥镜组除面神经麻痹外的腮腺切除相关并发症明显较少。然而，电子内窥镜组的手术时间明显长于放大镜组。ORBEYE电子内窥镜可提供手术视野的放大视图，从而在腮腺手术中实现更精确的操作，并可能减少并发症。
