gms | German Medical Science

73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

29.05. - 01.06.2022, Köln

Microsurgical aneurysm repair using a 3D4K exoscope system – a retrospective single centre study

Mikrochirurgische Aneurysma-Therapie unter Einsatz eines 3D4K Exoskop-Systems – eine retrospektive Monocenterstudie

Meeting Abstract

  • presenting/speaker Tobias Pantel - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland
  • Richard Drexler - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland
  • Jennifer Göttsche - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland
  • Andras Piffko - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland
  • Manfred Westphal - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland
  • Jan Regelsberger - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland
  • Lasse Dührsen - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurochirurgie, Hamburg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie. Köln, 29.05.-01.06.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. DocP009

doi: 10.3205/22dgnc325, urn:nbn:de:0183-22dgnc3253

Veröffentlicht: 25. Mai 2022

© 2022 Pantel et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objective: With increasing frequency, 3D4K exoscope systems (EX) are being used in neurosurgery and are often described as feasible alternatives to conventional microscopes (OMs). In this study, we review and report our experience using the Orbeye® exoscope (Olympus, Germany) in microsurgical aneurysm repair compared with the conventional OM.

Methods: A retrospective analysis of patients who underwent microsurgical repair of incidentally or ruptured cerebral aneurysms between 8/2018 and 8/2020 was performed. Individual patient-, disease related and aneurysm characteristics were evaluated. Data on surgery duration were assessed and correlated with the OM cohort for time trend and comparability. In addition, technical aspects were evaluated in terms of reliability.

Results: 185 aneurysm cases were identified during the mentioned period. The EX was used for surgery in 44 cases. The mean surgical duration was in a comparable time frame with no statistically significant difference between the devices (165.5 ± 45.8 minutes (EX) vs. 160.5 ± 39.2 minutes (OM), p>0.05). Rates of complete aneurysm occlusion (95.5% (EX) vs. 92.2% (OM), p>0.05) as well as postoperative complications (9.1% (EX) vs. 9.7% (OM), p>0.05) were also comparable. In none of the cases with the EX did technical problems occur, likewise a switch to the OM was not necessary.

Conclusion: The results of our study provides equipoise with the OM in vascular microsurgery. Because of the ease of use and comparable surgical results the EX widens the spectrum of visualization tools and allows choice of tool according to individual surgeons’ preferences.