■3D外镜是一种新兴技术,在神经外科手术中取得了成功,现在越来越多地用于耳科和神经手术。目前对其安全性尚无共识,效率,和效用,与传统显微镜相比,这些程序。本系统综述旨在评估3维(3D)外镜在耳科和神经手术中的使用。
■MEDLINE/PubMed,WebofScience,Scopus,和EMBASE。
■使用3D外镜对耳科和神经外科的数据库进行系统搜索。考虑了对发表日期没有限制的英文论文。纳入标准:使用外镜研究耳科或神经/颅底手术的完整文章。排除标准:非耳科手术和非神经/颅底手术,独家使用传统的显微镜,社论,视频报告,和信件。两位作者独立审查了论文的收录情况;差异以协商一致方式解决。提取的变量包括:患者人数,外科手术的类型,手术和术后并发症,设置和操作时间,和可视化和人体工程学评级。
■分析了6篇包含128例手术病例(103例,25例显微镜)的文章。在手术切除的病例中,21%是慢性耳部疾病的手术,5%是人工耳蜗植入,74%是侧颅底手术,包括各种各样的方法。
■根据初步研究,出镜在安全性上似乎相当,可视化,与手术显微镜相比,效率,具有增加舒适度和易用性的潜力。
UNASSIGNED: The 3D
exoscope is an emerging technology that has been met with success in neurosurgery and is now increasingly used in otologic and neurotologic surgery. There is currently no consensus on its safety, efficiency, and utility, compared to the traditional microscope for these procedures. This systematic review aims to evaluate the use of the 3-dimensional (3D)
exoscope for otologic and neurotologic surgery.
UNASSIGNED: MEDLINE/PubMed, Web of Science, Scopus, and EMBASE.
UNASSIGNED: A systematic search of the databases was conducted for otologic and neurotologic surgery using the 3D
exoscope. English language papers with no limit on the date of publication were considered. Inclusion criteria: full articles studying otologic or neurotologic/skull base surgery using exoscopes. Exclusion criteria: non-otologic surgery and non-neurotologic/skull base surgery, exclusive use of the traditional microscope, editorials, video reports, and letters. Two authors independently reviewed papers for inclusion; discrepancies were settled by consensus. Extracted variables included: number of patients, types of surgical procedures, operative and postoperative complications, setup and operative time, and visualization and ergonomic rating.
UNASSIGNED: Six articles containing 128 surgical cases (103 exoscopic and 25 microscopic) were analyzed. Of the exoscopic cases, 21% were surgeries for chronic ear disease, 5% were cochlear implants, and 74% were lateral skull base procedures encompassing a wide variety of approaches.
UNASSIGNED: Based on preliminary studies, the
exoscope appears to be comparable in safety, visualization, and efficiency compared to the operating microscope, with the potential for increased comfort and ease of use.