Endoscopic training—is the future three‐dimensional?

Nassimizadeh, Abdul; Zaidi, S.M.; Nassimizadeh, Mohammad; Kholief, Amir; Ahmed, Shahzada

doi:10.1002/lio2.207

Cited by 8 publications

(9 citation statements)

References 16 publications

(56 reference statements)

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“…23 However, the use of this "insect eye" technology was associated with unwanted user side effects and eye strain. 21,23 In 2016, Storz introduced the TIPCAM 3D endoscope, which provided a more "physiologic" stereopsis for minimally invasive skull base surgery through the endonasal corridor. 24 Despite precedent supporting primary endoscopic repair of the dural layer after tumor resection associated with highflow CSF communication, 3,4,6-8 EDS is not routinely Abbreviations: 2D, two-dimensional; 3D, three-dimensional.…”

Section: Discussionmentioning

confidence: 99%

“…[19][20][21] While these models were too bulky for endonasal surgery, 22 in 2012, a smaller 3D endoscope was introduced by Visionsense (Petah Tikva, Israel) that utilized a microscopic array of lenses positioned over a single video chip to mimic the compound eye of arthropods. 23 However, the use of this "insect eye" technology was associated with unwanted user side effects and eye strain. 21,23 In 2016, Storz introduced the TIPCAM 3D endoscope, which provided a more "physiologic" stereopsis for minimally invasive skull base surgery through the endonasal corridor.…”

Section: Discussionmentioning

confidence: 99%

“…23 However, the use of this “insect eye” technology was associated with unwanted user side effects and eye strain. 21 23 In 2016, Storz introduced the TIPCAM 3D endoscope, which provided a more “physiologic” stereopsis for minimally invasive skull base surgery through the endonasal corridor. 24…”

Section: Discussionmentioning

confidence: 99%

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2D versus 3D Endoscopy: Head-to-Head Comparison in a Simulated Model of Endoscopic Endonasal Dural Suturing

Nebor

Anderson

Mejia-Munne

et al. 2021

J Neurol Surg B Skull Base

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Objective Endonasal dural suturing (EDS) has been reported to decrease the incidence of cerebrospinal fluid fistula. This technique requires handling of single-shaft instrumentation in the narrow endonasal corridor. It has been proposed that three-dimensional (3D) endoscopes were associated with improved depth perception. In this study, we sought to perform a comparison of two-dimensional (2D) versus 3D endoscopy by assessing surgical proficiency in a simulated model of EDS. Materials and Methods Twenty-six participants subdivided into groups based on previous endoscopic experience were asked to pass barbed sutures through preset targets with either 2D (Storz Hopkins II) or 3D (Storz TIPCAM) endoscopes on 3D-printed simulation model. Surgical precision and procedural time were measured. All participants completed a Likert scale questionnaire. Results Novice, intermediate, and expert groups took 11.0, 8.7, and 5.7 minutes with 2D endoscopy and 10.9, 9.0, and 7.6 minutes with 3D endoscopy, respectively. The average deviation for novice, intermediate, and expert groups (mm) was 5.5, 4.4, and 4.3 with 2D and 6.6, 4.6, and 3.0 with 3D, respectively. No significant difference in procedural time or accuracy was found in 2D versus 3D endoscopy. 2D endoscopic visualization was preferred by the majority of expert/intermediate participants, while 3D endoscopic visualization by the novice group. Conclusion In this pilot study, there was no statistical difference in procedural time or accuracy when utilizing 2D versus 3D endoscopes. While it is possible that widespread familiarity with 2D endoscopic equipment has biased this study, preliminary analysis suggests that 3D endoscopy offers no definitive advantage over 2D endoscopy in this simulated model of EDS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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2D versus 3D Endoscopy: Head-to-Head Comparison in a Simulated Model of Endoscopic Endonasal Dural Suturing

Nebor

Anderson

Mejia-Munne

et al. 2021

J Neurol Surg B Skull Base

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“…Based on the movement of the endoscope, the assessment of relative proportions, anatomical knowledge, and parallactic displacement, experienced surgeons transform 2-dimensional images into mental 3-dimensional information. Up to now, the specific advantages of the 3D systems are seen mainly in the lab [90,91]. One disadvantage is the sensitivity to soiling of the lenses, especially in narrow cavities (e. g. anterior ethmoid) which leads to deterioration or even loss of the 3D impression.…”

Section: Endoscopic Microscopic and Conventional Sinus Surgerymentioning

confidence: 99%

Qualität in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen

Hildenbrand

Ketterer

2020

Laryngo-Rhino-Otol

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Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 ZusaMMenfassung Die endonasale endoskopische Nasennebenhöhlenchirurgie hat sich als Standard der operativen Therapie bei chronisch entzündlichen Erkrankungen der Nasennebenhöhlen etabliert. Eine Verbesserung der subjektiven Beschwerden und objektiven Befunde konnte in zahlreichen Studien nachgewiesen werden. Aufgrund der häufig beobachteten Diskrepanz zwischen objektiven und subjektiven Ergebnissen nach Nasennebenhöhlenchirurgie kommt der Messung des sog. patient reported outcome eine zunehmende Bedeutung zu. Qualität und Effizienz in der Medizin haben in den letzten Jahren zunehmend an Bedeutung gewonnen. In vielen Ländern und auch länderübergreifend wurden bereits durch Zusammenschluss von Experten, z.T unter Federführung verschiedener Fachgesellschaften, Initiativen zur Verbesserung der Qualität in der chirurgischen Versorgung gegründet.Die vorliegende Arbeit stellt eine Übersicht qualitätsrelevanter Faktoren in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen anhand der vorhandenen Literatur, v.a. der Prozess-und Ergebnisqualität, dar. Ein besonderes Augenmerk liegt auf der subjektiven Bewertung der Ergebnisqualität durch den Patienten.absTraCT Endonasal endoscopic surgery of the paranasal sinuses is the gold standard in surgical treatment of chronic inflammatory diseases of the paranasal sinuses. Improvement of subjective complaints and objective findings has been confirmed in numerous studies. Due to the discrepancy between objective and subjective results after paranasal sinus surgery, the assessment of patient reported outcomes has gained importance.Quality and efficiency in medicine became increasingly important during the last years. In many countries and transnationally, the association of experts, partly coordinated by different medical societies, led to initiatives focusing on improvement of the quality of surgical care. The present article represents an overview of quality-related factors in surgical treatment of chronic inflammatory diseases of the paranasal sinuses, summarizing the existing literature and focusing particularly on process and outcomes quality. Particular attention will be paid to the outcome quality individually assessed by the patients. S5Online publiziert: 16.03.2020 Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 Referat < 200 200 -400 Anzahl der Operationen Anzahl der Kliniken in % > 400 57,6 % 38,3 % 36,4 % 12,8 % städtisch/kirchlich/privat Uniklinik Krankenhaus S7 Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 Referat ren < 20 Operationen pro Jahr durch. Zwischen 20 und 50 Operationen werden von 38,4 % der Kliniken durchgeführt und mehr als 50 Operationen geben lediglich 2 % der Kliniken an (▶abb. 2). 83,1 % aller Kliniken gaben an, an einem interdisziplinären Tumorboard teilzunehmen und 68,4 % führen interdisziplinäre Tumoroperationen bei Erkrankungen der Nasennebenhöhle...

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“…With direct comparison experiments between 2D and 3D endoscopic tasks, the 3D endoscope shows significant performance improvements [3]. For the training of endoscopic surgery, the 3D endoscope also shows measurable advantages for novice users, and highlights potential tailoring of future surgical training [4]. With the same 3D endoscope for image capture, the 3D display system can either be traditional with polarized glasses, or novel without glasses.…”

Section: Objective and Backgroundmentioning

confidence: 99%

9.3: Invited Paper: Geometric distortions in three‐dimensional endoscopic visualization

Xia

Wang

Cheng

et al. 2019

Symp Digest of Tech Papers

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The three‐dimensional endoscope system is widely used for surgery and relative training of novice. The geometric distortions will affect the accuracy of size and distance estimation, and also may be one important factor inducing the visual discomfort. Based on the model of three‐dimensional endoscope image capture and display, the geometric distortions are analyzed. The results may provide some theoretical guidance for appropriate utilization of the three‐dimensional endoscope system.

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Endoscopic training—is the future three‐dimensional?

Cited by 8 publications

References 16 publications

2D versus 3D Endoscopy: Head-to-Head Comparison in a Simulated Model of Endoscopic Endonasal Dural Suturing

2D versus 3D Endoscopy: Head-to-Head Comparison in a Simulated Model of Endoscopic Endonasal Dural Suturing

Qualität in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen

9.3: Invited Paper: Geometric distortions in three‐dimensional endoscopic visualization

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