Endoscopic pituitary surgery with and without image guidance: an experimental comparison

Gong, Jianping; Mohr, Gérard; Vezina, J L

doi:10.1016/j.surneu.2006.08.083

Cited by 29 publications

(25 citation statements)

References 16 publications

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“…As expected, results revealed a clear advantage of IGN including an improvement of situation awareness on all three levels, i.e., the correct perception of relevant information from the surgical site, the proper interpretation of this information, and the correct anticipation of the future development of the surgical process. This positive evaluation confirms earlier reports from studies pointing to beneficial effects of IGN on the clinical outcome of surgeries (e.g., Gong et al, 2007;Strauss et al, 2006). Furthermore, the surgeons rated the perceived reliability of IGN-systems as rather high.…”

Section: Discussionsupporting

confidence: 88%

Automation in Surgery: The Surgeons' Perspective on Human Factors Issues of Image-Guided Navigation

Bahner-Heyne¹,

Roettger²,

Schulze-Kissing³

et al. 2009

PsycEXTRA Dataset

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Image-guided navigation (IGN) systems support the surgeon in navigating through the patients' anatomy. Previous research on IGN has focused on technical feasibility and clinical applications. Yet, as the introduction of IGN corresponds to a partial automation of the surgeon's task, well known issues of humanautomation interaction might play a crucial role for the success of IGN as well. The present study represents a first attempt to assess the impact of IGN on four key issues of human automation-interaction, i.e., workload, situation awareness, trust, and skill degradation, from the surgeons' perspective. A nation-wide survey among 213 German surgeons from 94 different hospitals was conducted. Results revealed (1) a workload-shift due to IGN rather than a reduction of workload, (2) benefits of IGN with respect to situation awareness, (3) comparatively high levels of perceived reliability, trust and reliance, and (4) skill degradation as a possible risk, albeit only for inexperienced surgeons.

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Section: Discussionsupporting

confidence: 88%

Automation in Surgery: The Surgeons' Perspective on Human Factors Issues of Image-Guided Navigation

Bahner-Heyne¹,

Roettger²,

Schulze-Kissing³

et al. 2009

PsycEXTRA Dataset

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“…At the operative level, this may include cost savings from shorter operative time. 27,28 However, operative time could not be analyzed with the NIS. On a population level, cost savings may have been attributable to lower complication rates and subsequently shorter mean hospital stays.…”

Section: Discussionmentioning

confidence: 99%

The Use of Image-Guidance during Transsphenoidal Pituitary Surgery in the United States

Chung

Riley

Woodworth

2015

Am J Rhinol�Allergy

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“…Today, the use of IGNS is commonplace in neurosurgery, as it is extremely useful as both a pre-surgical and intraoperative device that improves accuracy in defining anatomical structures. [235810]…”

Section: Discussionmentioning

confidence: 99%

“…[15] In our experience, the presence of sphenoid sinus anomalies, lack of sphenoid pneumatization, lateral pneumatization, or multiple sphenoid sinus septae increases the chances that IGNS will be necessary [Figure 2]. Similarly, expansive and invasive macroadenomas may obliterate the normal anatomy and even displace the surrounding neurovascular structures.…”

Section: Indicationsmentioning

confidence: 99%

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Application of image guidance in pituitary surgery

Lf²,

Dm³

et al. 2012

Surg Neurol Int

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Background:Surgical treatment of pituitary pathologies has evolved along the years, adding safety and decreasing morbidity related to the procedure. Advances in the field of radiology, coupled with stereotactic technology and computer modeling, have culminated in the contemporary and widespread use of image guidance systems, as we know them today. Image guidance navigation has become a frequently used technology that provides continuous three-dimensional information for the accurate performance of neurosurgical procedures. We present a discussion about the application of image guidance in pituitary surgeries.Methods:Major indications for image guidance neuronavigation application in pituitary surgery are presented and demonstrated with illustrative cases. Limitations of this technology are also presented.Results:Patients presenting a history of previous transsphenoidal surgeries, anatomical variances of the sphenoid sinus, tumors with a close relation to the internal carotid arteries, and extrasellar tumors are the most important indications for image guidance in pituitary surgeries. The high cost of the equipment, increased time of surgery due to setup time, and registration and the need of specific training for the operating room personnel could be pointed as limitations of this technology.Conclusion:Intraoperative image guidance systems provide real-time images, increasing surgical accuracy and enabling safe, minimally invasive interventions. However, the use of intraoperative navigation is not a replacement for surgical experience and a systematic knowledge of regional anatomy. It must be recognized as a tool by which the neurosurgeon can reduce the risk associated with surgical approach and treatment of pituitary pathologies.

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Endoscopic pituitary surgery with and without image guidance: an experimental comparison

Cited by 29 publications

References 16 publications

Automation in Surgery: The Surgeons' Perspective on Human Factors Issues of Image-Guided Navigation

Automation in Surgery: The Surgeons' Perspective on Human Factors Issues of Image-Guided Navigation

The Use of Image-Guidance during Transsphenoidal Pituitary Surgery in the United States

Application of image guidance in pituitary surgery

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