دورية أكاديمية
أعرض في EDS

Comparative analysis of exoscope-assisted spine surgery versus operating microscope: A systematic review.

التفاصيل البيبلوغرافية
العنوان: Comparative analysis of exoscope-assisted spine surgery versus operating microscope: A systematic review.
المؤلفون: Iqbal J; King Edward Medical University, Lahore, Pakistan., Covell MM; School of Medicine, Georgetown University, Washington, DC, USA., Jabeen S; Liaquat National Hospital and Medical College, Karachi, Pakistan., Nadeem A; Dow University of Health Sciences, Karachi, Pakistan., Malik Gunjial H; King Edward Medical University, Lahore, Pakistan., Abdus Saboor H; King Edward Medical University, Lahore, Pakistan., Amin A; Guy's and St Thomas' NHS Foundation Trust, London, UK., Salman Y; Dow University of Health Sciences, Karachi, Pakistan., Hafeez MH; Shalamar Medical and Dental College Lahore, Pakistan., Bowers CA; Bowers Neurosurgical Frailty and Outcomes Data Science Lab, Sandy, UT, USA.
المصدر: World neurosurgery: X [World Neurosurg X] 2023 Dec 10; Vol. 21, pp. 100258. Date of Electronic Publication: 2023 Dec 10 (Print Publication: 2024).
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101747743 Publication Model: eCollection Cited Medium: Internet ISSN: 2590-1397 (Electronic) Linking ISSN: 25901397 NLM ISO Abbreviation: World Neurosurg X Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier Inc., [2019]-
مستخلص: Background: Limitations in the operative microscope (OM)'s mobility and suboptimal ergonomics created the opportunity for the development of the exoscope. This systematic review aims to evaluate the advantages and disadvantages of exoscopes and OMs in spine surgery.
Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a systematic search was conducted in the major research databases. All studies evaluating the exoscopes and/or OMs in spinal procedures were included.
Results: There were 602 patients included in the 16 studies, with 539 spine surgery patients, 19 vascular cases, 1 neural pathology case, 19 cranial cases, and 24 tumor pathologies. When examining surgical outcomes with the exoscope, results were mixed. Compared to the OM, exoscope usage resulted in longer operative times in 7 studies, comparable times in 3 studies, and shorter operative times in 3 studies. Two studies found similar lengths of stay (LOS) for both tools, two reported longer LOS with exoscopes, and one indicated shorter hospital LOS with exoscopes. One study reported higher exoscope-related blood loss (EBL), but four other studies consistently showed reduced EBL. In terms of image quality, illumination, dynamic range, depth perception, ergonomics and cost-effectiveness, the exoscope was consistently rated superior, while findings across studies were mixed regarding the optical zoom ratio and mean scope adjustment (MSA). The learning curve for exoscope use was consistently reported as shorter in all studies.
Conclusion: Exoscopes present a viable alternative to OMs in spine surgery, offering multiple advantages, which supports their promising role in modern neurosurgical practice.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2023 The Authors.)
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فهرسة مساهمة: Keywords: Ergonomics; Exoscope-assisted spine surgery; Minimally invasive surgery; Neurosurgical practice; Operating microscope; Optical quality; Surgical outcomes
تواريخ الأحداث: Date Created: 20240104 Latest Revision: 20240105
رمز التحديث: 20240105
مُعرف محوري في PubMed: PMC10762452
DOI: 10.1016/j.wnsx.2023.100258
PMID: 38173684
قاعدة البيانات: MEDLINE
الوصف
تدمد:2590-1397
DOI:10.1016/j.wnsx.2023.100258