Some collected principles of microneurosurgery: simple and fast, while preserving normal anatomy

Hernesniemi, Juha; Niemelä, Mika; Karataş, Ayşe; Kivipelto, Leena; Ishii, Keisuke; Rinne, Jaakko; Ronkainen, Antti; Koivisto, Timo; Kivisaari, Riku; Shen, Huiyong; Lehečka, Martin; Frösén, Juhana; Piippo, Anna; Jääskeläinen, Juha E.

doi:10.1016/j.surneu.2005.04.031

Cited by 92 publications

(87 citation statements)

References 7 publications

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“…Results of the first study are quite straightforward, but they are automatically generated from an initial hypothesis. Patient positioning is of prime importance for safe and efficient conduct in cranial surgery [Hernesniemi 2005, Mohsenipour 1994, Perneczky 1999, Shevach 1992. A comfortable working angle should be ensured by careful positioning of the patient's head and body.…”

Section: Discussionmentioning

confidence: 99%

Surgical models for computer-assisted neurosurgery

Jannin

Morandi

2007

NeuroImage

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NeuroImage 2007;37(3): Jannin P, Morandi X. Surgical models for computer-assisted neurosurgery. Neuroimage. 2007 Sep 1;37(3):783-91 2 Abstract:In this paper, we outline a way to improve computer-assisted neurosurgery using surgical models along with patient-specific models built from multimodal images. We propose a methodological framework for surgical models that includes the definition of a surgical ontology, the development of software for describing surgical procedures based on this ontology, and the analysis of these descriptions to generate knowledge about surgical practice. Knowledge generation is illustrated by two studies. 159 patients who underwent brain tumor surgery were described from postoperative reports using the surgical ontology. First, from a sub-set of 106 surgical cases, we computed a decision tree using a prediction approach that gave probability in terms of operating room patient positioning percentages and according to tumor location within one or more lobes. Second, from the whole set of 159 surgical cases, we identified 6 clusters describing families of cases according to pathology-related parameters. Results from both studies showed possible prediction of parts of the surgical procedure from pathology-related characteristics of the patient. Surgical models enable surgical knowledge to be made explicit, facilitating the surgical decision-making process and surgical planning, and improving the human-computer interface during surgery.HAL author manuscript inserm-00185435, version 1 Jannin P, Morandi X. Surgical models for computer-assisted neurosurgery. Neuroimage. 2007 Sep 1;37(3):783-91 3

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Section: Discussionmentioning

confidence: 99%

Surgical models for computer-assisted neurosurgery

Jannin

Morandi

2007

NeuroImage

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“…The limitations imposed by the microscope and consequent interruptions are in contradiction to the fundamental principle of neurosurgery, which states that surgery should be as simple and fast as possible [7]. The interaction techniques such as the mouth switch, discussed in this article (see Table 1), have been designed to eliminate interruptions while using the microscope.…”

Section: Interruptions Caused By Interactionsmentioning

confidence: 99%

“…Interaction with the microscope is frequent and intensive. It is recommended that the entire surgery, including the opening and closing of the skull, be performed using a microscope [7]. Although the microscope provides effective assistance for surgeons, it also imposes significant demands on visual perception, processing of interactions, eye and hand coordination, and dexterity skills.…”

Section: Introductionmentioning

confidence: 99%

“…Because the surgical procedures require concentration and any distraction may lead to errors, delays, and potential complications [7,17], all medical devices should be designed to support the primary surgical task with minimal distractions. The main tool for surgeons in microneurosurgery is the microscope; therefore, interactions between surgeons and the microscope in the operating room (OR) should be further studied in vivo to improve the understanding of this delicate process.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of disruptive events and precarious situations caused by interaction with neurosurgical microscope

et al. 2015

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“…Their protection may require a lot of high precision and tedious work, but this is essential to achieve an optimal result. If an artery is accidentally injured its flow should be immediately restored in order to prevent postoperative complications such as cerebral ischemia, haemorrhagic infarction, and even death in some cases (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%