Transoral laser microsurgery: feasibility of a new exoscopic HD-3D system coupled with free beam or fiber laser

Carobbio, Andrea Luigi Camillo; Missale, Francesco; Fragale, Marco; Mora, Francesco; Guastini, Luca; Parrinello, Giampiero; Canevari, Frank Rikki; Peretti, Giorgio; Mattos, Leonardo S.

doi:10.1007/s10103-020-03221-w

Cited by 20 publications

(25 citation statements)

References 26 publications

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“…The rate of complications both intra- and postoperatively following exoscopic surgery was low. These findings are in line with previous studies [ 1 , 2 , 4 , 5 , 29 ].…”

Section: Discussionsupporting

confidence: 94%

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Maurer

Prinz

Qasem

et al. 2021

Cancers

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Objective: Current literature debates the role of newly developed three-dimensional (3D) Exoscopes in the daily routine of neurosurgical practice. So far, only a small number of cadaver lab studies or case reports have examined the novel Aesculap Aeos Three-Dimensional Robotic Digital Microscope. This study aims to evaluate the grade of satisfaction and intraoperative handling of this novel system in neurosurgery. Methods: Nineteen neurosurgical procedures (12 cranial, 6 spinal and 1 peripheral nerve) performed over 9 weeks using the Aeos were analyzed. Ten neurosurgeons of varying levels of training were included after undergoing device instruction and training. Following every surgery, a questionnaire consisting of 43 items concerning intraoperative handling was completed. The questionnaires were analyzed using descriptive statistics. Results: No intraoperative complications occurred. Surgical satisfaction was ranked high (78.95%). In total, 84.21% evaluated surgical ergonomics as satisfactory, while 78.95% of the surgeons would like to use this system frequently. Image quality, independent working zoom function and depth of field were perceived as suboptimal by several neurosurgeons. Conclusion: The use of Aeos is feasible and safe in microsurgical procedures, and surgical satisfaction was ranked high among most neurosurgeons in our study. The system might offer advanced ergonomic conditions in comparison to conventional ocular-based microscopes.

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“…The rate of complications both intra- and postoperatively following exoscopic surgery was low. These findings are in line with previous studies [ 1 , 2 , 4 , 5 , 29 ].…”

Section: Discussionsupporting

confidence: 94%

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Maurer

Prinz

Qasem

et al. 2021

Cancers

View full text Add to dashboard Cite

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“…Through the analysis of records and subsequent fulltext screening of the articles, we excluded all the studies that did not match the inclusion criteria (n = 156). The remaining 22 papers were included in a qualitative synthesis for data extraction [1,2,4,5,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Moreover, according to the criteria established for meta-analysis, a quantitative analysis was not performed.…”

Section: Paper Retrievalmentioning

confidence: 99%

“…We included 22 studies in the analysis [1,2,4,5,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. According to the study design, we identified 5 papers as case reports [16,20,22,29,31], 2 papers as case series [15,24], 10 papers as prospective controlled studies [2,4,5,14,17,23,25,27,28,30], and 5 studies as retrospective studies [1,18,19,21,26]. The studies' sample sizes ranged from 1 to 71 participants.…”

Section: Study Featuresmentioning

confidence: 99%

“…In addition, laryngeal surgery was executed with an exoscopic approach in 28 cases (9.24%) [2,23,24]. Head and neck surgery was performed in 38 cases (12.54%) [5,25,30,31] (Figure 3).…”

Section: Patients' Features Comorbidities and Treatmentmentioning

confidence: 99%

“…Minoda et al found higher magnification in middle ear cholesteatoma surgery; however, there could be a deterioration of the surgical images, with consequent pixelation [15]. Excessive visual fatigue due to the use of polarizing glasses for the 3D view for the duration of the procedure has also been linked to headaches and dizziness [25,26,31].…”

Section: Surgical Times and Cost Effectiveness In Comparision Of Tech...mentioning

confidence: 99%

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High Definition Three-Dimensional Exoscope (VITOM 3D) in E.N.T. Surgery: A Systematic Review of Current Experience

Ferlito

Mantia

Caruso

et al. 2022

JCM

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Over the last decade, technological growth has developed new devices for more precise surgery based on improved maneuverability, minimally invasive approaches, and magnification of the operating field. In this context, the exoscope has opened a new phase for more accurate and safer microsurgery, improving the perception of the volume of objects and the depth of structures for planning, targeting, and controlling fine movements. The exoscope could be used for middle ear, transcanal, transmastoid, and craniotomy procedures that require two-handed dissection, both to perform both totally VITOM-based techniques and coupled to traditional procedures with an operating microscope or endoscope. In addition, the VITOM 3D system allows the surgeon to work with high-definition images, which is essential in facial nerve surgery or submandibular salivary stone or tear surgery approaches, where magnification plays a fundamental role in surgical success and in reducing operating times. The 3D exoscope approach could also be included in traditional transoral procedures for oropharyngeal carcinoma. The exoscope may provide a relevant approach in teaching surgeons and nurses, allowing adequate training in non-oncological surgical procedures such as a tonsillectomy or lateral pharyngoplasty.

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Exoscopic Transoral Supraglottic Laryngectomy

Deganello,

Gualtieri,

Testa

et al. 2024

The Laryngoscope

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Transoral laser microsurgery: feasibility of a new exoscopic HD-3D system coupled with free beam or fiber laser

Cited by 20 publications

References 26 publications

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

High Definition Three-Dimensional Exoscope (VITOM 3D) in E.N.T. Surgery: A Systematic Review of Current Experience

Exoscopic Transoral Supraglottic Laryngectomy

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