Advancing Education in Endoscopic Spinal Navigation: Novel Methods and Technical Note.

Autor:	Pertile ME; Medicine, University of Caxias do Sul, Caxias do Sul, BRA., de Assunção Bicca Y; Medicine, University of Caxias do Sul, Caxias do Sul, BRA., Maccari PM; Medicine, University of Caxias do Sul, Caxias do Sul, BRA., Neto OR; Spine Surgery, Instituto Santista de Neurocirurgia e Coluna, Santos, BRA., Quintas DP; Spine Surgery, Brazilian Endoscopic Spine Surgery Center (BESSC), Santos, BRA., Bertani R; Neurosurgery, University of São Paulo, São Paulo, BRA., Batista S; Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, BRA., Koester SW; Medicine, Vanderbilt University School of Medicine, Nashville, USA., Rusafa E; Neurosurgery, University of São Paulo, São Paulo, BRA., Flores de Barros Vasconcelos Fernandes Serra MV; Spine Surgery, Brazilian Endoscopic Spine Surgery Center (BESSC), Santos, BRA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Apr 01; Vol. 15 (4), pp. e37017. Date of Electronic Publication: 2023 Apr 01 (Print Publication: 2023).
DOI:	10.7759/cureus.37017
Abstrakt:	This report aims to demonstrate how to teach anatomy and understanding of spinal endoscopic vision and navigation using mnemonics. The authors present a new surgical technique for teaching endoscopic spinal navigation in a didactic manner with tips such as the "rule of the hand" and decomposition of the endoscopic navigation movement. We demonstrate how the surgery is seen and illustrate how images are projected onto the screen, then divide the navigation into spatial orientation and self-navigation. The article describes the proper puncture technique, how to introduce the working portal, and how to assimilate this new anatomical vision using the "rule of the hand." The surgeon projects their hand on the video screen to guide themselves when starting the navigation and uses the same technique to localize regions of interest during surgery. Finally, the authors break down the navigational movement into three components: forceps positioning, triangulation, and joystick motion. One of the biggest challenges when learning spinal endoscopic surgery is understanding the anatomy seen through the endoscope. By decomposing movements required for navigation, one can understand how to make proper use of the equipment as well as improve their knowledge of this "new anatomy." The learning methods taught in this article have the potential to decrease the learning curve and radiation exposure to those that are still acquainting themselves to spinal endoscopic navigation. We recommend that further studies measure and quantify the impact of these methods on surgical practice. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Pertile et al.)
Databáze:	MEDLINE
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