International Publisher of Science, Technology and Medicine

Journal of Spine & Neurosurgery

Research Article

Advancement of Surgical Visualization Methods: A Comparison Study between Traditional Microscopic Surgery, the Endoscope and a Novel Robotic Optoelectronic Visualization Tool for them Transnasal Transsphenoidal Approach to the Sellar Region

Moisi MD1,2,3*, Fisahn C1,2,4, Hoang K5, Buchanan P1, Klinger D1, Tubbs RS2, Page J1, Cobbs C1, Backous D1 and Delashaw J1
1Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, United States
2Seattle Science Foundation, Seattle, Washington, United States
3Wayne State University, Detroit, Michigan, United States
4Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Germany
5Duke University Medical Center, Durham, North Carolina, United States
Corresponding author : Dr. Marc D. Moisi
Swedish Neuroscience Institute, 550 17th Avenue, Seattle, WA 98122, USA
Tel: (917) 679-9917l
Fax: (206) 320-3944
E-mail: [email protected]
Received: October 05, 2016 Accepted: December 16, 2016 Published: April 20, 2017
Citation: Moisi MD, Fisahn C, Hoang K, Buchanan P, Klinger D, et al. (2017) Advancement of Surgical Visualization Methods: A Comparison Study between Traditional Microscopic Surgery, the Endoscope and a Novel Robotic Optoelectronic Visualization Tool for the Transnasal Transsphenoidal Approach to the Sellar Region. J Spine Neurosurg 6:2. doi: 10.4172/2325-9701.1000259

Abstract

With the entrance of the video microscope over the recent few years into the microsurgery optical field, a third modality has emerged alongside the endoscope and operating microscope to accomplish some of the microsurgical procedures. One such approach that could potentially utilize any of the three is the transnasal transsphenoidal (TNTS) approach that provides access to the anterior brainstem, the anterior skull base, and of course the sellar region. Here, we provide a descriptive comparison of the three modalities on cadaveric specimens with joint ENT and neurosurgery teams performing the approach. Each provides unique advantages and disadvantages as part of the surgeon?s optical armamentarium. As more optical devices become available to surgeons, selection of the optimal device can present a challenge best compared by head-to-head comparison. The aim of this paper is to compare these modalities for the TNTS approach.
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