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Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures
PURPOSE: We assessed the applicability of a new multidirectional videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) in various neuroendoscopic procedures. METHODS: A 4-mm-diameter rigid videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) with 1 sensor and an internal...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729436/ https://www.ncbi.nlm.nih.gov/pubmed/26816293 http://dx.doi.org/10.1371/journal.pone.0147524 |
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author | Cavallo, Luigi Maria Di Somma, Alberto Solari, Domenico de Divitiis, Oreste Bracale, Umberto Marcello Cappabianca, Paolo |
author_facet | Cavallo, Luigi Maria Di Somma, Alberto Solari, Domenico de Divitiis, Oreste Bracale, Umberto Marcello Cappabianca, Paolo |
author_sort | Cavallo, Luigi Maria |
collection | PubMed |
description | PURPOSE: We assessed the applicability of a new multidirectional videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) in various neuroendoscopic procedures. METHODS: A 4-mm-diameter rigid videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) with 1 sensor and an internal LED light source was tested. The device offers a resolution of 1920 x 1080 pixels and weighs ≈ 215 g. The prototype was tested on three cadaveric heads using three different approaches: a) endoscopic endonasal transsphenoidal; b) frontal transcortical intraventricular; c) supraorbital. RESULTS: We identified several major benefits of the integrated system as applied to endoscopic endonasal, transcortical intraventricular, and endoscopic supraorbital keyhole approaches. These included improved maneuverability of the scope on account of reduced bulk and integration of the camera and fiberoptic light components, a variable angle of view from 0–70 degrees, and a novel feature that can be activated to maintain orientation of the surgical horizon. Our preliminary report highlights the potential for handling the videoendoscope in one hand, as one would a microsurgical instrument. The videoendoscope harbors all its electronic and lighting data into a unique and thin cable, thus resembling a modern "all-in-one" computer technology. Because of its reduced weight and ergonomic shape, controlling its movements is very easy and comfortable, even in the microsurgical environment. Furthermore, the videoendoscope offers the unique feature of orienting the horizon of vision, thanks to the possibility of offering angled views while working; this helps the surgeons to stay oriented with direct visualization and improved control of the instruments over a specific area of interest. CONCLUSIONS: The videoendoscope prototype represents an HD-image quality versatile tool in a neurosurgical environment, thanks to its reduced weight and dimensions; in these preliminary simulations, we have identified optimized visibility and maneuverability as major benefits of this novel surgical adjunct. |
format | Online Article Text |
id | pubmed-4729436 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-47294362016-02-04 Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures Cavallo, Luigi Maria Di Somma, Alberto Solari, Domenico de Divitiis, Oreste Bracale, Umberto Marcello Cappabianca, Paolo PLoS One Research Article PURPOSE: We assessed the applicability of a new multidirectional videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) in various neuroendoscopic procedures. METHODS: A 4-mm-diameter rigid videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) with 1 sensor and an internal LED light source was tested. The device offers a resolution of 1920 x 1080 pixels and weighs ≈ 215 g. The prototype was tested on three cadaveric heads using three different approaches: a) endoscopic endonasal transsphenoidal; b) frontal transcortical intraventricular; c) supraorbital. RESULTS: We identified several major benefits of the integrated system as applied to endoscopic endonasal, transcortical intraventricular, and endoscopic supraorbital keyhole approaches. These included improved maneuverability of the scope on account of reduced bulk and integration of the camera and fiberoptic light components, a variable angle of view from 0–70 degrees, and a novel feature that can be activated to maintain orientation of the surgical horizon. Our preliminary report highlights the potential for handling the videoendoscope in one hand, as one would a microsurgical instrument. The videoendoscope harbors all its electronic and lighting data into a unique and thin cable, thus resembling a modern "all-in-one" computer technology. Because of its reduced weight and ergonomic shape, controlling its movements is very easy and comfortable, even in the microsurgical environment. Furthermore, the videoendoscope offers the unique feature of orienting the horizon of vision, thanks to the possibility of offering angled views while working; this helps the surgeons to stay oriented with direct visualization and improved control of the instruments over a specific area of interest. CONCLUSIONS: The videoendoscope prototype represents an HD-image quality versatile tool in a neurosurgical environment, thanks to its reduced weight and dimensions; in these preliminary simulations, we have identified optimized visibility and maneuverability as major benefits of this novel surgical adjunct. Public Library of Science 2016-01-27 /pmc/articles/PMC4729436/ /pubmed/26816293 http://dx.doi.org/10.1371/journal.pone.0147524 Text en © 2016 Cavallo et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Cavallo, Luigi Maria Di Somma, Alberto Solari, Domenico de Divitiis, Oreste Bracale, Umberto Marcello Cappabianca, Paolo Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures |
title | Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures |
title_full | Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures |
title_fullStr | Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures |
title_full_unstemmed | Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures |
title_short | Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures |
title_sort | preliminary experience with a new multidirectional videoendoscope for neuroendoscopic surgical procedures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729436/ https://www.ncbi.nlm.nih.gov/pubmed/26816293 http://dx.doi.org/10.1371/journal.pone.0147524 |
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