Intraoperative Performance with the Exoscope in Spine Surgery: An Institutional Experience.

Autor: Nawabi NLA; College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: nawabin@musc.edu., Saway BF; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Cunningham C; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Rhodes S; College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Kodali P; College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Pereira M; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Patel SJ; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Kalhorn SP; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Feb; Vol. 182, pp. 208-213. Date of Electronic Publication: 2023 Dec 05.
DOI: 10.1016/j.wneu.2023.12.004
Abstrakt: Background: Exoscope use in spinal neurosurgery has become a promising surgical option providing enhanced operative field visibility and ergonomics. However, data on its use in spine surgery are underreported in the literature. We aimed to assess the intraoperative outcomes in exoscope-assisted spine surgery compared with similar procedures performed using the operative microscope.
Methods: A retrospective review was performed of all spinal surgeries performed using an exoscope and, subsequently, an equal number of operative microscope cases performed by 2 senior surgeons at a single institution from 2016 to 2023. The variables included demographics, clinical presentation, surgical treatment, and operative outcomes.
Results: A total of 123 exoscope spinal surgeries were performed on 116 unique patients with a mean age of 67 ± 14 years, of whom 60 (52%) were women. The microscope group included 126 surgeries on 120 unique patients with a mean age of 62 ± 14 years, of whom 53 (45%) were women. The mean blood loss (28 mL vs. 132 mL; P = 0.0009), operative time (83 minutes vs. 103 minutes; P = 0.006), and length of stay (1.04 days vs. 1.73 days; P = 0.02) were significantly less for the exoscope group than for the microscope group.
Conclusions: The use of the exoscope resulted in a shorter operative time, less blood loss, a shorter length of stay, and favorable clinical outcomes compared with the use of the operative microscope. Neurosurgeons should consider this seemingly efficacious and ergonomically favorable visual technology for spinal surgeries.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: