Is the exoscope ready to replace the operative microscope in transoral surgery?
Journal
Current opinion in otolaryngology & head and neck surgery
ISSN: 1531-6998
Titre abrégé: Curr Opin Otolaryngol Head Neck Surg
Pays: United States
ID NLM: 9417024
Informations de publication
Date de publication:
01 Apr 2022
01 Apr 2022
Historique:
pubmed:
9
2
2022
medline:
11
3
2022
entrez:
8
2
2022
Statut:
ppublish
Résumé
Exoscopes are external digital devices that provide enhanced and magnified visualization of the surgical field. They usually have dedicated digital controls and a more compact mechanical structure than operative microscopes and current robotic surgical systems. This technology has significant potential in otolaryngology - head and neck surgery, especially concerning the field of transoral approaches. We herein analysed the overall technical characteristics of currently available exoscopic systems and contextualized their advantages and drawbacks in the setting of transoral surgery. The actual advantages of exoscopy are still indeterminate, as it has only been applied to limited surgical series. However, its specific properties are herein compared with conventional transoral microsurgery and transoral robotic surgery, discussing the available literature on such a topic, filtered on the basis of the authors' experience and its possible future evolutions. Finally, a summary of current experiences in the field of three-dimensional (3D) transoral exoscopic surgery is presented, highlighting differences compared with standard approaches. 3D-exoscopic transoral surgery will possibly play an essential role in future management of early laryngeal and oropharyngeal lesions, significantly shifting the paradigms of this type of procedures.
Identifiants
pubmed: 35131988
doi: 10.1097/MOO.0000000000000794
pii: 00020840-202204000-00002
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
79-86Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Références
Mudry A. The history of the microscope for use in ear surgery. Am J Otol 2000; 21:877–886.
Harris AT, Tanyi A, Hart RD, et al. Transoral laser surgery for laryngeal carcinoma: has Steiner achieved a genuine paradigm shift in oncological surgery? Ann R Coll Surg Engl 2018; 100:2–5.
Castelnuovo P, Battaglia P, Turri-Zanoni M, et al. Endoscopic endonasal surgery for malignancies of the anterior cranial base. World Neurosurg 2014; 82:S22–31.
Weinstein GS, O’Malley BW Jr, Desai SC, Quon H. Transoral robotic surgery: does the ends justify the means? Curr Opin Otolaryngol Head Neck Surg 2009; 17:126–131.
De Virgilio A, Spriano G. Exoscope-assisted surgery in otorhinolaryngology. 1st ed. Amsterdam, Netherlands: Elsevier; 2021.
Carlucci C, Fasanella L, Ricci Maccarini A. Exolaryngoscopy: a new technique for laryngeal surgery. Acta Otorhinolaryngol Ital 2012; 32:326–328.
Crosetti E, Arrigoni G, Manca A, et al. 3D exoscopic surgery (3Des) for transoral oropharyngectomy. Front Oncol 2020; 10:16.
Carobbio ALC, Filauro M, Parrinello G, et al. Microsurgical procedures during COVID-19 pandemic: the VITOM® 3D-HD exoscopic system as alternative to the operating microscope to properly use personal protective equipment (PPE). Eur Arch Otorhinolaryngol 2021; 278:2129–2132.
Carobbio ALC, Missale F, Fragale M, et al. Transoral laser microsurgery: feasibility of a new exoscopic HD-3D system coupled with free beam or fiber laser. Lasers Med Sci 2021; 36:1865–1872.
De Virgilio A, Costantino A, Mondello T, et al. Pre-clinical experience with the VITOM 3D and the ARTip Cruise System for micro-laryngeal surgery. Laryngoscope 2021; 131:136–138.
De Virgilio A, Festa BM, Costantino A, et al. High-definition 3D exoscope-assisted soft palate excision and reconstruction. Head Neck 2021; 44:292–295.
Ergina PL, Cook JA, Blazeby JM, et al. Challenges in evaluating surgical innovation. Lancet 2009; 374:1097–1104.
McCulloch P, Altman DG, Campbell WB, et al. No surgical innovation without evaluation: the IDEAL recommendations. Lancet 2009; 374:1105–1112.
Remacle M, Arens C, Eldin MB, et al. Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European Laryngological Society. Eur Arch Otorhinolaryngol 2017; 274:3723–3727.
Remacle M, Eckel HE, Antonelli A, et al. Endoscopic cordectomy. A proposal for a classification by the Working Committee, European Laryngological Society. Eur Arch Otorhinolaryngol 2000; 257:227–231.
O’Malley BW Jr, Weinstein GS, Snyder W, Hockstein NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope 2006; 116:1465–1472.
Park YM, Lee WJ, Lee JG, et al. Transoral robotic surgery (TORS) in laryngeal and hypopharyngeal cancer. J Laparoendosc Adv Surg Tech A 2009; 19:361–368.
Piazza C, Mangili S, Bon FD, et al. Preoperative clinical predictors of difficult laryngeal exposure for microlaryngoscopy: the Laryngoscore. Laryngoscope 2014; 124:2561–2567.
Incandela F, Paderno A, Missale F, et al. Glottic exposure for transoral laser microsurgery: proposal of a mini-version of the laryngoscore. Laryngoscope 2019; 129:1617–1622.
Krishnan KG, Scholler K, Uhl E. Application of a compact high-definition exoscope for illumination and magnification in high-precision surgical procedures. World Neurosurg 2017; 97:652–660.
Kwan K, Schneider JR, Du V, et al. Lessons learned using a high-definition 3-dimensional exoscope for spinal surgery. Oper Neurosurg (Hagerstown) 2018; 16:619–625.
Sack J, Steinberg JA, Rennert RC, et al. Initial experience using a high-definition 3-dimensional exoscope system for microneurosurgery. Oper Neurosurg (Hagerstown) 2018; 14:395–401.
Buda A, Dell’Anna T, Vecchione F, et al. Near-infrared sentinel lymph node mapping with indocyanine green using the VITOM II ICG exoscope for open surgery for gynecologic malignancies. J Minim Invasive Gynecol 2016; 23:628–632.
Frykman PK, Duel BP, Gangi A, et al. Evaluation of a video telescopic operating microscope (VITOM) for pediatric surgery and urology: a preliminary report. J Laparoendosc Adv Surg Tech A 2013; 23:639–643.
Frykman PK, Freedman AL, Kane TD, et al. A study of VITOM in pediatric surgery and urology: evaluation of technology acceptance and usability by operating team and surgeon musculoskeletal discomfort. J Laparoendosc Adv Surg Tech A 2017; 27:191–196.
O’Leary DP, Deering-McCarthy E, McGrath D, et al. Identification of the optimal visual recording system in open abdominal surgery: a prospective observational study. J Vis Commun Med 2016; 39:127–132.
Piatkowski AA, Keuter XHA, Schols RM, van der Hulst R. Potential of performing a microvascular free flap reconstruction using solely a 3D exoscope instead of a conventional microscope. J Plast Reconstr Aesthet Surg 2018; 71:1664–1678.
Taylor B, Myers EM. Initial gynecologic experience using the VITOM((R)) HD exoscope for vaginal surgery. J Minim Invasive Gynecol 2015; 22:S103.
Takahashi S, Toda M, Nishimoto M, et al. Pros and cons of using ORBEYE for microneurosurgery. Clin Neurol Neurosurg 2018; 174:57–62.
Mamelak AN, Danielpour M, Black KL, et al. A high-definition exoscope system for neurosurgery and other microsurgical disciplines: preliminary report. Surg Innov 2008; 15:38–46.
Mamelak AN, Drazin D, Shirzadi A, et al. Infratentorial supracerebellar resection of a pineal tumor using a high definition video exoscope (VITOM(R)). J Clin Neurosci 2012; 19:306–309.
Shirzadi A, Mukherjee D, Drazin DG, et al. Use of the video telescope operating monitor (VITOM) as an alternative to the operating microscope in spine surgery. Spine (Phila Pa 1976) 2012; 37:E1517–E1523.
Mamelak AN, Nobuto T, Berci G. Initial clinical experience with a high-definition exoscope system for microneurosurgery. Neurosurgery 2010; 67:476–483.
Nishiyama K. From exoscope into the next generation. J Korean Neurosurg Soc 2017; 60:289–293.
Parihar V, Yadav YR, Kher Y, et al. Learning neuroendoscopy with an exoscope system (video telescopic operating monitor): early clinical results. Asian J Neurosurg 2016; 11:421–426.
Rossini Z, Cardia A, Milani D, et al. VITOM 3D: preliminary experience in cranial surgery. World Neurosurg 2017; 107:663–668.
Murai Y, Sato S, Yui K, et al. Preliminary clinical microneurosurgical experience with the 4K3-dimensional microvideoscope (ORBEYE) system for microneurological surgery: observation study. Oper Neurosurg (Hagerstown) 2019; 16:707–716.
Beez T, Munoz-Bendix C, Beseoglu K, et al. First clinical applications of a high-definition three-dimensional exoscope in pediatric neurosurgery. Cureus 2018; 10:e2108.
Oertel JM, Burkhardt BW. Vitom-3D for exoscopic neurosurgery: initial experience in cranial and spinal procedures. World Neurosurg 2017; 105:153–162.
Piazza C, D Bon F, Peretti DB, Nicolai P. ‘Biologic endoscopy’: optimization of upper aerodigestive tract cancer evaluation. Curr Opin Otolaryngol Head Neck Surg 2011; 19:67–76.
Piazza C, Cocco D, De Benedetto L, et al. Narrow band imaging and high definition television in the assessment of laryngeal cancer: a prospective study on 279 patients. Eur Arch Otorhinolaryngol 2010; 267:409–414.
Piazza C, Cocco D, Del Bon F, et al. Narrow band imaging and high definition television in evaluation of oral and oropharyngeal squamous cell cancer: a prospective study. Oral Oncol 2010; 46:307–310.
Garofolo S, Piazza C, Del Bon F, et al. Intraoperative narrow band imaging better delineates superficial resection margins during transoral laser microsurgery for early glottic cancer. Ann Otol Rhinol Laryngol 2015; 124:294–298.
Stanikova L, Walderova R, Jancatova D, et al. Comparison of narrow band imaging and the Storz Professional Image Enhancement System for detection of laryngeal and hypopharyngeal pathologies. Eur Arch Otorhinolaryngol 2018; 275:1819–1825.
Weinstein GS, Quon H, Newman HJ, et al. Transoral robotic surgery alone for oropharyngeal cancer: an analysis of local control. Arch Otolaryng Head Neck Surg 2012; 138:628–634.
Holsinger FC. A flexible, single-arm robotic surgical system for transoral resection of the tonsil and lateral pharyngeal wall: next-generation robotic head and neck surgery. Laryngoscope 2016; 126:864–869.
Gaino F, Gorphe P, Vander Poorten V, et al. Preoperative predictors of difficult oropharyngeal exposure for transoral robotic surgery: the pharyngoscore. Head Neck 2021; 43:3010–3021.
Albergotti WG, Gooding WE, Kubik MW, et al. Assessment of surgical learning curves in transoral robotic surgery for squamous cell carcinoma of the oropharynx. JAMA Otolaryngol Head Neck Surg 2017; 143:542–548.
Parimbelli E, Soldati F, Duchoud L, et al. Cost-utility of two minimally-invasive surgical techniques for operable oropharyngeal cancer: transoral robotic surgery versus transoral laser microsurgery. BMC Health Serv Res 2021; 21:1173.
Langer DJ, White TG, Schulder M, et al. Advances in intraoperative optics: a brief review of current exoscope platforms. Oper Neurosurg (Hagerstown) 2020; 19:84–93.
Paderno A, Holsinger FC, Piazza C. Videomics: bringing deep learning to diagnostic endoscopy. Curr Opin Otolaryngol Head Neck Surg 2021; 29:143–148.
Paderno A, Piazza C, Del Bon F, et al. Deep learning for automatic segmentation of oral and oropharyngeal cancer using narrow band imaging: preliminary experience in a clinical perspective. Front Oncol 2021; 11:626602.
Azam MA, Sampieri C, Ioppi A, et al. Deep learning applied to white light and Narrow Band Imaging videolaryngosocopy: toward real-time laryngeal cancer detection. Laryngosocope 2021; [Epub ahead of print].
Wong K, Yee HM, Xavier BA, Grillone GA. Applications of augmented reality in otolaryngology: a systematic review. Otolaryngol Head Neck Surg 2018; 159:956–967.