Initial Experience Using a High-Definition 3-Dimensional Exoscope System for Microneurosurgery
Abstract BACKGROUND The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal optics, ergonomics, and maneuverability. A recently developed extracorporeal telescope (“exoscope”) operative system combines...
Saved in:
Published in: | Operative neurosurgery (Hagerstown, Md.) Vol. 14; no. 4; pp. 395 - 401 |
---|---|
Main Authors: | , , , , , , |
Format: | Journal Article |
Language: | English |
Published: |
United States
Oxford University Press
01-04-2018
Wolters Kluwer Health, Inc |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Abstract | Abstract
BACKGROUND
The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal optics, ergonomics, and maneuverability. A recently developed extracorporeal telescope (“exoscope”) operative system combines characteristics from both the operative microscope and endoscope and provides an affordable, portable, high-definition operative experience. Widespread use of exoscopes in neurosurgery has previously been limited by a lack of stereopsis with 2-dimensional(2-D) monitors.
OBJECTIVE
To assess the surgical potential of a novel, 3-D, high-definition (4K-HD) exoscope system.
METHODS
Assess dissection time and visualization of critical structures in a series of human cadaveric cranial neurosurgical approaches with the 3-D 4K-HD exoscope as compared to a standard operating microscope.
RESULTS
Dissection times and visualization of critical structures was comparable with the 3-D 4K-HD exoscope and a standard operating microscope. The low-profile exoscope nonetheless allowed for larger operative corridors, enhanced instrument maneuverability, and less obstruction in passing instrumentation. The large monitor also resulted in an immersive surgical experience, and gave multiple team members the same high-quality view as the primary operator. Finally, the exoscope possessed a more ergonomically favorable setup as compared to the traditional microscope, allowing the surgeon to be in a neutral position despite the operative angle.
CONCLUSION
The novel 3-D 4K-HD exoscope system possesses favorable optics, ergonomics, and maneuverability as compared to the traditional operating microscope, with the exoscope's shared surgical view possessing obvious educational and workflow advantages. Further clinical trials are justified to validate this initial cadaveric experience. |
---|---|
AbstractList | Abstract
BACKGROUND
The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal optics, ergonomics, and maneuverability. A recently developed extracorporeal telescope (“exoscope”) operative system combines characteristics from both the operative microscope and endoscope and provides an affordable, portable, high-definition operative experience. Widespread use of exoscopes in neurosurgery has previously been limited by a lack of stereopsis with 2-dimensional(2-D) monitors.
OBJECTIVE
To assess the surgical potential of a novel, 3-D, high-definition (4K-HD) exoscope system.
METHODS
Assess dissection time and visualization of critical structures in a series of human cadaveric cranial neurosurgical approaches with the 3-D 4K-HD exoscope as compared to a standard operating microscope.
RESULTS
Dissection times and visualization of critical structures was comparable with the 3-D 4K-HD exoscope and a standard operating microscope. The low-profile exoscope nonetheless allowed for larger operative corridors, enhanced instrument maneuverability, and less obstruction in passing instrumentation. The large monitor also resulted in an immersive surgical experience, and gave multiple team members the same high-quality view as the primary operator. Finally, the exoscope possessed a more ergonomically favorable setup as compared to the traditional microscope, allowing the surgeon to be in a neutral position despite the operative angle.
CONCLUSION
The novel 3-D 4K-HD exoscope system possesses favorable optics, ergonomics, and maneuverability as compared to the traditional operating microscope, with the exoscope's shared surgical view possessing obvious educational and workflow advantages. Further clinical trials are justified to validate this initial cadaveric experience. The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal optics, ergonomics, and maneuverability. A recently developed extracorporeal telescope ("exoscope") operative system combines characteristics from both the operative microscope and endoscope and provides an affordable, portable, high-definition operative experience. Widespread use of exoscopes in neurosurgery has previously been limited by a lack of stereopsis with 2-dimensional(2-D) monitors. To assess the surgical potential of a novel, 3-D, high-definition (4K-HD) exoscope system. Assess dissection time and visualization of critical structures in a series of human cadaveric cranial neurosurgical approaches with the 3-D 4K-HD exoscope as compared to a standard operating microscope. Dissection times and visualization of critical structures was comparable with the 3-D 4K-HD exoscope and a standard operating microscope. The low-profile exoscope nonetheless allowed for larger operative corridors, enhanced instrument maneuverability, and less obstruction in passing instrumentation. The large monitor also resulted in an immersive surgical experience, and gave multiple team members the same high-quality view as the primary operator. Finally, the exoscope possessed a more ergonomically favorable setup as compared to the traditional microscope, allowing the surgeon to be in a neutral position despite the operative angle. The novel 3-D 4K-HD exoscope system possesses favorable optics, ergonomics, and maneuverability as compared to the traditional operating microscope, with the exoscope's shared surgical view possessing obvious educational and workflow advantages. Further clinical trials are justified to validate this initial cadaveric experience. BACKGROUNDThe operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal optics, ergonomics, and maneuverability. A recently developed extracorporeal telescope ("exoscope") operative system combines characteristics from both the operative microscope and endoscope and provides an affordable, portable, high-definition operative experience. Widespread use of exoscopes in neurosurgery has previously been limited by a lack of stereopsis with 2-dimensional(2-D) monitors. OBJECTIVETo assess the surgical potential of a novel, 3-D, high-definition (4K-HD) exoscope system. METHODSAssess dissection time and visualization of critical structures in a series of human cadaveric cranial neurosurgical approaches with the 3-D 4K-HD exoscope as compared to a standard operating microscope. RESULTSDissection times and visualization of critical structures was comparable with the 3-D 4K-HD exoscope and a standard operating microscope. The low-profile exoscope nonetheless allowed for larger operative corridors, enhanced instrument maneuverability, and less obstruction in passing instrumentation. The large monitor also resulted in an immersive surgical experience, and gave multiple team members the same high-quality view as the primary operator. Finally, the exoscope possessed a more ergonomically favorable setup as compared to the traditional microscope, allowing the surgeon to be in a neutral position despite the operative angle. CONCLUSIONThe novel 3-D 4K-HD exoscope system possesses favorable optics, ergonomics, and maneuverability as compared to the traditional operating microscope, with the exoscope's shared surgical view possessing obvious educational and workflow advantages. Further clinical trials are justified to validate this initial cadaveric experience. BACKGROUND The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal optics, ergonomics, and maneuverability. A recently developed extracorporeal telescope (“exoscope”) operative system combines characteristics from both the operative microscope and endoscope and provides an affordable, portable, high-definition operative experience. Widespread use of exoscopes in neurosurgery has previously been limited by a lack of stereopsis with 2-dimensional(2-D) monitors. OBJECTIVE To assess the surgical potential of a novel, 3-D, high-definition (4K-HD) exoscope system. METHODS Assess dissection time and visualization of critical structures in a series of human cadaveric cranial neurosurgical approaches with the 3-D 4K-HD exoscope as compared to a standard operating microscope. RESULTS Dissection times and visualization of critical structures was comparable with the 3-D 4K-HD exoscope and a standard operating microscope. The low-profile exoscope nonetheless allowed for larger operative corridors, enhanced instrument maneuverability, and less obstruction in passing instrumentation. The large monitor also resulted in an immersive surgical experience, and gave multiple team members the same high-quality view as the primary operator. Finally, the exoscope possessed a more ergonomically favorable setup as compared to the traditional microscope, allowing the surgeon to be in a neutral position despite the operative angle. CONCLUSION The novel 3-D 4K-HD exoscope system possesses favorable optics, ergonomics, and maneuverability as compared to the traditional operating microscope, with the exoscope's shared surgical view possessing obvious educational and workflow advantages. Further clinical trials are justified to validate this initial cadaveric experience. |
Author | Levy, Michael Rennert, Robert C Khalessi, Alexander A Steinberg, Jeffrey A Hatefi, Dustin Sack, Jayson Pannell, Jeffrey S |
Author_xml | – sequence: 1 givenname: Jayson surname: Sack fullname: Sack, Jayson organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California – sequence: 2 givenname: Jeffrey A surname: Steinberg fullname: Steinberg, Jeffrey A organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California – sequence: 3 givenname: Robert C surname: Rennert fullname: Rennert, Robert C organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California – sequence: 4 givenname: Dustin surname: Hatefi fullname: Hatefi, Dustin organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California – sequence: 5 givenname: Jeffrey S surname: Pannell fullname: Pannell, Jeffrey S organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California – sequence: 6 givenname: Michael surname: Levy fullname: Levy, Michael organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California – sequence: 7 givenname: Alexander A surname: Khalessi fullname: Khalessi, Alexander A email: akhalessi@ucsd.edu organization: Department of Neurosurgery, University of California—San Diego, La Jolla, California |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29106670$$D View this record in MEDLINE/PubMed |
BookMark | eNp9kE1LAzEURYMoftRu_AEyIIIIY_M1mWYptVqh4kK7dchkkhqZScZkBuy_N7W1Cxeu3lucd3n3nIB966wC4AzBGwQ5GTkbRq79QjTbA8eYEJxSzOD-bs_wERiG8AEhRIRmMKeH4AhzBBnL4TF4e7SmM6JOpl-t8kZZqZJFMHaZiGRmlu_pndJmjTibkPTONMqGuP8cuCBdq5KXVehUk2jnkycjfXyv9y70fqn86hQcaFEHNdzOAVjcT18ns3T-_PA4uZ2nkiLUpSXSLJOSVpgLKrhQpaj4GGnKcA6zUlfjEskyiyVLLqtxnkuNWZXnOdGSCVKRAbja5LbeffYqdEVjglR1LaxyfSgQZwiSGEAjevEH_XC9j41CgQljLNrjPFLXGyoWCsErXbTeNMKvCgSLtfgiii824iN8vo3sy0ZVO_RXcwQuN4Dr2_-CvgG_-I43 |
CitedBy_id | crossref_primary_10_1007_s00381_022_05636_y crossref_primary_10_1016_j_otc_2020_09_023 crossref_primary_10_1016_j_wneu_2022_08_111 crossref_primary_10_1227_ONS_0000000000000060 crossref_primary_10_1055_s_0042_1758768 crossref_primary_10_1016_j_wneu_2021_04_019 crossref_primary_10_1097_MAO_0000000000002095 crossref_primary_10_1007_s11912_018_0723_9 crossref_primary_10_1007_s00701_021_04997_8 crossref_primary_10_4103_jcvjs_JCVJS_176_20 crossref_primary_10_1016_j_wneu_2018_12_202 crossref_primary_10_3389_fmedt_2022_1055189 crossref_primary_10_1016_j_heliyon_2021_e06244 crossref_primary_10_1016_j_clineuro_2020_106101 crossref_primary_10_1016_j_wneu_2021_07_033 crossref_primary_10_1111_os_13737 crossref_primary_10_7759_cureus_15878 crossref_primary_10_3171_2020_10_FOCUS20786 crossref_primary_10_3389_fsurg_2022_1021098 crossref_primary_10_1016_j_wneu_2019_11_154 crossref_primary_10_1016_j_wneu_2023_08_048 crossref_primary_10_25259_SNI_53_2023 crossref_primary_10_1093_ons_opy320 crossref_primary_10_1097_MAO_0000000000004042 crossref_primary_10_1007_s00701_020_04361_2 crossref_primary_10_1007_s00701_023_05721_4 crossref_primary_10_1055_s_0041_1725037 crossref_primary_10_3390_life13020584 crossref_primary_10_1016_j_wneu_2021_10_165 crossref_primary_10_1055_s_0039_1697023 crossref_primary_10_1097_SCS_0000000000009522 crossref_primary_10_1016_j_wneu_2022_09_096 crossref_primary_10_25259_SNI_965_2021 crossref_primary_10_1007_s00405_019_05736_7 crossref_primary_10_1007_s00381_023_06138_1 crossref_primary_10_1007_s00701_019_03953_x crossref_primary_10_3390_curroncol28050336 crossref_primary_10_1093_ons_opy196 crossref_primary_10_1227_ons_0000000000000150 crossref_primary_10_1016_j_wnsx_2023_100258 crossref_primary_10_1097_MAO_0000000000002276 crossref_primary_10_1097_MOO_0000000000000794 crossref_primary_10_7759_cureus_28045 crossref_primary_10_1111_os_13040 crossref_primary_10_1177_1553350620964151 crossref_primary_10_17116_neiro20238705128 crossref_primary_10_3390_jcm11010223 crossref_primary_10_3340_jkns_2021_0202 crossref_primary_10_1016_j_wneu_2019_01_202 crossref_primary_10_1227_ONS_0000000000000085 crossref_primary_10_1016_j_jocn_2019_10_017 crossref_primary_10_1016_j_wneu_2022_09_022 crossref_primary_10_1016_j_ijom_2023_11_004 crossref_primary_10_20517_2574_1225_2020_66 crossref_primary_10_3389_fsurg_2022_866476 crossref_primary_10_1080_02688697_2021_1982865 crossref_primary_10_1097_JS9_0000000000000707 crossref_primary_10_1007_s10143_021_01577_3 crossref_primary_10_1093_ons_opz276 crossref_primary_10_1093_ons_opy342 crossref_primary_10_1016_j_wneu_2021_05_075 crossref_primary_10_1016_j_wneu_2023_11_026 crossref_primary_10_3389_fped_2018_00309 crossref_primary_10_1016_j_inat_2023_101939 crossref_primary_10_1016_j_clineuro_2018_09_010 crossref_primary_10_1016_j_wneu_2023_12_090 crossref_primary_10_1016_j_inat_2019_100547 crossref_primary_10_3389_fsurg_2022_920252 crossref_primary_10_1016_j_wneu_2021_02_126 crossref_primary_10_1007_s00238_019_01521_1 crossref_primary_10_1016_j_wneu_2023_02_120 crossref_primary_10_25259_SNI_320_2021 crossref_primary_10_1002_micr_30547 crossref_primary_10_5999_aps_2019_01473 crossref_primary_10_1002_cncr_33793 crossref_primary_10_1097_MAO_0000000000002567 |
Cites_doi | 10.1016/j.athoracsur.2007.05.058 10.1055/s-2004-817701 10.1111/j.1399-6576.2004.00558.x 10.1016/j.jocn.2011.07.014 10.1227/01.NEU.0000372204.85227.BF 10.1007/s11605-008-0568-x 10.1007/s00464-008-9904-1 10.1177/1553350608315954 10.1001/archpedi.162.7.675 10.1136/neurintsurg-2014-011358 |
ContentType | Journal Article |
Copyright | Copyright © 2017 by the Congress of Neurological Surgeons 2018 Copyright © 2017 by the Congress of Neurological Surgeons |
Copyright_xml | – notice: Copyright © 2017 by the Congress of Neurological Surgeons 2018 – notice: Copyright © 2017 by the Congress of Neurological Surgeons |
DBID | NPM AAYXX CITATION 3V. 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA BENPR CCPQU FYUFA GHDGH K9. M0S PQEST PQQKQ PQUKI PRINS 7X8 |
DOI | 10.1093/ons/opx145 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Databases ProQuest One Community College Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | PubMed MEDLINE - Academic ProQuest One Academic Eastern Edition |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 2332-4260 |
EndPage | 401 |
ExternalDocumentID | 10_1093_ons_opx145 29106670 10.1093/ons/opx145 |
Genre | Research Support, Non-U.S. Gov't Journal Article |
GroupedDBID | 0R~ 3V. 48X 53G 7X7 8FI 8FJ AAAAV AAAXR AAGIX AAHPQ AAIQE AAJQQ AAPQZ AAQKA AAQOH AAQQT AARTV AASCR AASXQ AAUQX AAVAP ABASU ABDIG ABJNI ABLJU ABPTD ABUWG ABXVJ ACGFS ACILI ACOAL ACXJB ACXNZ ADBBV ADGZP ADHKW ADHPY ADRTK AEETU AEMDU AENEX AENZO AETBJ AEWNT AFDTB AFFZL AFKRA AFOFC AFUWQ AGINJ AHMBA AHOMT AHQNM AJNWD AJZMW ALIPV ALMA_UNASSIGNED_HOLDINGS AMNEI APIBT BAYMD BCRHZ BENPR BPHCQ BTRTY BVXVI BYPQX C45 CCPQU CDBKE DAKXR EBS EEVPB EJD ENERS ERAAH EX3 FCALG FECEO FLUFQ FOEOM FOTVD FQBLK FYUFA GAUVT GJXCC H13 HLJTE HMCUK IAO KOP KSI MHKGH NOYVH NTWIH O9- OBH ODMLO OVD PAFKI PEELM PQQKQ PROAC RLZ ROX RUSNO TEORI TJX UKHRP YAYTL YKOAZ YXANX NPM 1TH AAKAS AAYXX ACLDA ADBIZ ADZCM AFTRI AHRYX AIZYK CITATION IPNFZ ITC RIG 7XB 8FK K9. PQEST PQUKI PRINS 7X8 |
ID | FETCH-LOGICAL-c411t-b1f65cc4d29a4a9aebad981f462705bfd8b1cb5145b9cd877cf26d7773fc6a3d3 |
ISSN | 2332-4252 |
IngestDate | Fri Oct 25 05:30:01 EDT 2024 Mon Nov 04 11:40:28 EST 2024 Fri Nov 22 02:21:06 EST 2024 Sat Sep 28 08:38:39 EDT 2024 Wed Aug 28 03:19:09 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Keywords | Exoscope Operating microscope Stereopsis Microneurosurgery |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c411t-b1f65cc4d29a4a9aebad981f462705bfd8b1cb5145b9cd877cf26d7773fc6a3d3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
PMID | 29106670 |
PQID | 2366626099 |
PQPubID | 2046367 |
PageCount | 7 |
ParticipantIDs | proquest_miscellaneous_1961035144 proquest_journals_2366626099 crossref_primary_10_1093_ons_opx145 pubmed_primary_29106670 oup_primary_10_1093_ons_opx145 |
PublicationCentury | 2000 |
PublicationDate | 2018-04-01 |
PublicationDateYYYYMMDD | 2018-04-01 |
PublicationDate_xml | – month: 04 year: 2018 text: 2018-04-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States – name: Philadelphia |
PublicationTitle | Operative neurosurgery (Hagerstown, Md.) |
PublicationTitleAlternate | Oper Neurosurg (Hagerstown) |
PublicationYear | 2018 |
Publisher | Oxford University Press Wolters Kluwer Health, Inc |
Publisher_xml | – name: Oxford University Press – name: Wolters Kluwer Health, Inc |
References | Shah (bib5-20240909) 2008; 162 Mamelak (bib8-20240909) 2008; 15 Fiorella (bib12-20240909) 2015; 7 Mamelak (bib7-20240909) 2010; 67 Bilimoria (bib4-20240909) 2008; 12 Andaluz (bib10-20240909) 2003; 13 Cruvinel (bib2-20240909) 2005; 49 Tiberio (bib6-20240909) 2008; 22 Quilici (bib1-20240909) 1993; 59 Mamelak (bib9-20240909) 2012; 19 Spiotta (bib11-20240909) 2015; 11 McKenna (bib3-20240909) 2007; 84 |
References_xml | – volume: 84 start-page: 1663 issue: 5 year: 2007 ident: bib3-20240909 article-title: Fast-tracking after video-assisted thoracoscopic surgery lobectomy, segmentectomy, and pneumonectomy publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2007.05.058 contributor: fullname: McKenna – volume: 11 start-page: 243 issue: suppl 2 year: 2015 ident: bib11-20240909 article-title: Initial multicenter technical experience with the Apollo device for minimally invasive intracerebral hematoma evacuation publication-title: Neurosurgery contributor: fullname: Spiotta – volume: 13 start-page: 241 issue: 4 year: 2003 ident: bib10-20240909 article-title: The one-piece orbitopterional approach publication-title: Skull Base doi: 10.1055/s-2004-817701 contributor: fullname: Andaluz – volume: 49 start-page: 238 issue: 2 year: 2005 ident: bib2-20240909 article-title: Multimodal approach to rapid discharge after endoscopic thoracic sympathectomy publication-title: Acta Anaesthesiol Scand doi: 10.1111/j.1399-6576.2004.00558.x contributor: fullname: Cruvinel – volume: 19 start-page: 306 issue: 2 year: 2012 ident: bib9-20240909 article-title: Infratentorial supracerebellar resection of a pineal tumor using a high definition video exoscope (VITOM®) publication-title: J Clin Neurosci doi: 10.1016/j.jocn.2011.07.014 contributor: fullname: Mamelak – volume: 67 start-page: 476 issue: 2 year: 2010 ident: bib7-20240909 article-title: Initial clinical experience with a high-definition exoscope system for microneurosurgery publication-title: Neurosurgery doi: 10.1227/01.NEU.0000372204.85227.BF contributor: fullname: Mamelak – volume: 12 start-page: 2001 issue: 11 year: 2008 ident: bib4-20240909 article-title: Laparoscopic-assisted vs. open colectomy for cancer: comparison of short-term outcomes from 121 hospitals publication-title: J Gastrointest Surg doi: 10.1007/s11605-008-0568-x contributor: fullname: Bilimoria – volume: 22 start-page: 1435 issue: 6 year: 2008 ident: bib6-20240909 article-title: Prospective randomized comparison of laparoscopic versus open adrenalectomy for sporadic pheochromocytoma publication-title: Surg Endosc doi: 10.1007/s00464-008-9904-1 contributor: fullname: Tiberio – volume: 15 start-page: 38 issue: 1 year: 2008 ident: bib8-20240909 article-title: A high-definition exoscope system for neurosurgery and other microsurgical disciplines: preliminary report publication-title: Surg Innov doi: 10.1177/1553350608315954 contributor: fullname: Mamelak – volume: 162 start-page: 675 issue: 7 year: 2008 ident: bib5-20240909 article-title: Primary early thoracoscopy and reduction in length of hospital stay and additional procedures among children with complicated pneumonia: results of a multicenter retrospective cohort study publication-title: Arch Pediatr Adolesc Med doi: 10.1001/archpedi.162.7.675 contributor: fullname: Shah – volume: 59 start-page: 824 issue: 12 year: 1993 ident: bib1-20240909 article-title: Laparoscopic inguinal hernia repair results: 131 cases publication-title: Am Surg contributor: fullname: Quilici – volume: 7 start-page: 752 issue: 10 year: 2015 ident: bib12-20240909 article-title: Minimally invasive evacuation of parenchymal and ventricular hemorrhage using the Apollo system with simultaneous neuronavigation, neuroendoscopy and active monitoring with cone beam CT publication-title: J Neurointerv Surg doi: 10.1136/neurintsurg-2014-011358 contributor: fullname: Fiorella |
SSID | ssj0001345074 |
Score | 2.4007897 |
Snippet | Abstract
BACKGROUND
The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs... The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and suboptimal... BACKGROUND The operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and... BACKGROUNDThe operative microscope and endoscope have significantly advanced modern neurosurgery. These devices are nonetheless limited by high costs and... |
SourceID | proquest crossref pubmed oup |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 395 |
SubjectTerms | Neurosurgery |
Title | Initial Experience Using a High-Definition 3-Dimensional Exoscope System for Microneurosurgery |
URI | https://www.ncbi.nlm.nih.gov/pubmed/29106670 https://www.proquest.com/docview/2366626099 https://search.proquest.com/docview/1961035144 |
Volume | 14 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1LbxMxELbS9sIFgcojtFRGcKsM9WN3vcdCEgWkgkSCxImV115LXDZR00jw7xnveB8hqIUDl1XkOGvF8-147P3mG0JecWlclmnLtHaKKeVzVjprmPVSuaTi3tmQjTxfZB-_6slUTUejto5r3_ZfLQ1tYOuQOfsP1u5uCg3wGWwOV7A6XP_K7u8DGyiIBXcaxudICzANp4NNKv-9bnha55JNgrY_6nLAD1ZNikoUMW_4h1eBroeSl_vp05_WVZQNH_YIIes8CGNAVIkb_Cv3enDesDDogD-Yn5ueArAIRTdbqlnMLuuPWT-H1QBzi5AJ3p_tziFW9pgsH-qS1cNTDK4H5JdbsiN7ZyikFAz8C3ruatiG9Qg6b64GqFUD1yyxmGdc5RUOvreAoLjWKuxhZqv1D66SfqHs6It_7nhAjgR4O3C2R5ezyfJtf9QnFUTdqilzGP9FK5SbyzeBn4A32AmNdtIt93Y9TfSzfEDux20LvUS8PSSjqj4m3yLWaI812mCNGvob1ugO1miLNYpYo2AWuoe1R-TLbLp8N2exXgezivMbVnKfJtYqJ3Kjgup7aVyuuVepyC6S0jtdcltChJ6UuXU6y6wXKXiKTHqbGunkY3JYw0BPCVVB9tvlsB4JG1IxNQS-uXdSC6eSpEzH5GU7VcUaZVkKpFPIAia0wAkdkzOYxVs7nLYTXMRneFMICVt6QFWej8mL7mvwuuFVmqmr1XZTwLrFwzt4pcbkCRqmG0ZABJ6m2cWzu0Y_Iff6R-GUHN5cb6vn5GDjtmcRQr8Ayr2tiA |
link.rule.ids | 315,782,786,27933,27934 |
linkProvider | Ovid |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Initial+Experience+Using+a+High-Definition+3-Dimensional+Exoscope+System+for+Microneurosurgery&rft.jtitle=Operative+neurosurgery+%28Hagerstown%2C+Md.%29&rft.au=Sack%2C+Jayson&rft.au=Steinberg%2C+Jeffrey+A&rft.au=Rennert%2C+Robert+C&rft.au=Hatefi%2C+Dustin&rft.date=2018-04-01&rft.pub=Oxford+University+Press&rft.issn=2332-4252&rft.eissn=2332-4260&rft.volume=14&rft.issue=4&rft.spage=395&rft.epage=401&rft_id=info:doi/10.1093%2Fons%2Fopx145&rft.externalDocID=10.1093%2Fons%2Fopx145 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2332-4252&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2332-4252&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2332-4252&client=summon |