The "STARS" study: advanced preoperative rehearsal and intraoperative navigation in neurosurgical oncology.

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-12-01 Epub Date: 2022-04-05 DOI:10.23736/S0390-5616.22.05516-3
Alessandro Perin, Enrico Gambatesa, Chiara B Rui, Giovanni Carone, Claudia Fanizzi, Francesca M Lombardo, Tommaso F Galbiati, Donatella Sgubin, Hagit Silberberg, Paolo Cappabianca, Torstein R Meling, Francesco DI Meco
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引用次数: 1

Abstract

Background: Neurosurgical 3D visualizers and simulators are innovative devices capable of defining a surgical strategy in advance and possibly making neurosurgery safer by rehearsing the phases of the operation beforehand. The aim of this study is to evaluate Surgical Theater™ (Surgical Theater LLC, Mayfield, OH, USA), a new 3D neurosurgical planning, simulation, and navigation system, and qualitatively assess its use in the operating room.

Methods: Clinical data were collected from 30 patients harboring various types of brain tumors; Surgical Theater™ was used for the preoperative planning and intraoperative 3D navigation. Preoperative and postoperative questionnaires were completed by first and second operators to get qualitative feedback on the system's functionality. Furthermore, we measured and compared the impact of this technology on surgery duration.

Results: Neurosurgeons were overall satisfied when using this rehearsal and navigation tool and found it efficient and easy to use; interestingly, residents considered this device more useful as compared to their more senior colleagues (with significantly higher scores, P<0.05), possibly because of their limited anatomical experience and spatial/surgical rehearsal ability. The length of the surgical procedure was not affected by this technology (P>0.05).

Conclusions: Surgical Theater™ system was found to be clinically useful in improving anatomical understanding, surgical planning, and intraoperative navigation, especially for younger and less experienced neurosurgeons.

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“STARS”研究:神经外科肿瘤先进的术前预演和术中导航。
背景神经外科三维可视化仪和模拟器是一种创新设备,能够提前确定手术策略,并可能通过预先排练手术阶段使神经外科更安全。本研究的目的是评估外科手术室™, 一个新的三维神经外科规划、模拟和导航系统,并对其在手术室的使用进行定性评估。方法收集30例不同类型脑瘤患者的临床资料;外科手术室™ 用于术前计划和术中三维导航。第一和第二操作员完成术前和术后问卷调查,以获得关于系统功能的定性反馈。此外,我们测量并比较了这项技术对手术持续时间的影响。结果神经外科医生在使用该排练和导航工具时总体上感到满意,并发现它高效且易于使用;有趣的是,住院医生认为这种设备比他们更资深的同事更有用(得分明显更高,p0.05)。结论外科剧院™ 该系统被发现在临床上有助于提高解剖理解、手术计划和术中导航,尤其是对年轻和经验不足的神经外科医生。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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