Abstract：
OBJECTIVE: The potential advantages of exoscopy have been discussed theoretically for a long time. Such a concept holds significance, especially in the specific setting of the posterior cranial fossa (PCF), characterized by complex anatomy and long and narrow surgical corridors with relatively extreme working angles. We aimed to: 1) analyze the institutional preliminary case-based data on the use of the Robotic 3D Exoscope AEOS Aesculap in three different PCF approaches: retrosigmoid (RSA), midline suboccipital (MSA), and supracerebellar infratentorial via feedbacks was collected using a 20-point questionnaire, and 2) perform a comprehensive review of the literature concerning the use of EX in PCF surgery.
RESULTS: A total of 38 patients with neurosurgical pathologies underwent a neurosurgical procedure using the EX (Robotic 3D exoscope AEOS Aesculap) at our institution between January and March 2022. 21 surgeons were involved in the abovementioned PCF surgeries and answered the questionnaire. The main perceived advantages were in terms of ergonomics (67%), magnification (52%), and visualization of extreme angles. The main reported disadvantage was color vision (16, 76%), followed by manual mobility (24%). Concerning the review, the search of the literature yielded a total of 177 results. Upon full-text review, 17 articles were included, including 153 patients.
CONCLUSIONS: In conclusion, our study provides a comprehensive evaluation of the advantages and challenges associated with using the exoscope in posterior fossa surgery, setting a precedent as the first to report on a questionnaire-based analysis of exoscope utilization in this specific domain.
RESULTS: A total of 38 patients with neurosurgical pathologies underwent a neurosurgical procedure using the EX (Robotic 3D exoscope AEOS Aesculap) at our institution between January and March 2022. 21 surgeons were involved in the abovementioned PCF surgeries and answered the questionnaire. The main perceived advantages were in terms of ergonomics (67%), magnification (52%), and visualization of extreme angles. The main reported disadvantage was color vision (16, 76%), followed by manual mobility (24%). Concerning the review, the search of the literature yielded a total of 177 results. Upon full-text review, 17 articles were included, including 153 patients.
CONCLUSIONS: In conclusion, our study provides a comprehensive evaluation of the advantages and challenges associated with using the exoscope in posterior fossa surgery, setting a precedent as the first to report on a questionnaire-based analysis of exoscope utilization in this specific domain.
摘要：
背景：在理论上已经讨论了很长时间的外镜检查的潜在优势。这样的概念具有重要意义，特别是在后颅窝（PCF）的特定设置中，其特征是复杂的解剖结构和长而窄的手术走廊，具有相对极端的工作角度。
目的：我们的目的是：1）分析机构的初步病例数据，以在三种不同的PCF方法中使用机器人3DExoscopeAEOSAesculap：乙状结肠后（RSA），枕下中线（MSA），使用20分问卷通过反馈收集小脑上鼻下（SIA）。2）对有关EX在PCF手术中使用的文献进行全面回顾。结果：1月至2022年3月，共有38例神经外科病理患者在我们的机构使用EX（机器人3D外镜AEOSAesculap）进行了神经外科手术。21名外科医生参与了上述PCF手术，并回答了问卷。主要的感知优势是人体工程学（67％）和放大倍数（52％）以及极端角度的可视化。主要报告的缺点是色觉（16，76%），其次是手动流动性（24％）。关于审查，文献检索共产生177个结果.经全文审查,包括17篇文章，包括153名患者。
结论：结论：我们的研究提供了在后颅窝手术中使用外镜相关的优势和挑战的综合评价，开创了一个先例，作为第一个报告在这一特定领域的基于问卷的外镜利用分析的报告。
目的：我们的目的是：1）分析机构的初步病例数据，以在三种不同的PCF方法中使用机器人3DExoscopeAEOSAesculap：乙状结肠后（RSA），枕下中线（MSA），使用20分问卷通过反馈收集小脑上鼻下（SIA）。2）对有关EX在PCF手术中使用的文献进行全面回顾。结果：1月至2022年3月，共有38例神经外科病理患者在我们的机构使用EX（机器人3D外镜AEOSAesculap）进行了神经外科手术。21名外科医生参与了上述PCF手术，并回答了问卷。主要的感知优势是人体工程学（67％）和放大倍数（52％）以及极端角度的可视化。主要报告的缺点是色觉（16，76%），其次是手动流动性（24％）。关于审查，文献检索共产生177个结果.经全文审查,包括17篇文章，包括153名患者。
结论：结论：我们的研究提供了在后颅窝手术中使用外镜相关的优势和挑战的综合评价，开创了一个先例，作为第一个报告在这一特定领域的基于问卷的外镜利用分析的报告。
