Application of exoscope for resection of parasagittal meningioma
10.16016/j.2097-0927.202311021
- VernacularTitle:外视镜在矢状窦旁脑膜瘤手术中的应用
- Author:
Yong CHEN
1
;
Xin ZHENG
;
Xiaoqing ZHANG
;
Song LI
;
Hui YANG
Author Information
1. 400037 重庆,陆军军医大学(第三军医大学)第二附属医院神经外科
- Keywords:
exoscope;
microscope;
parasagittal meningioma;
neurosurgical procedures
- From:
Journal of Army Medical University
2024;46(16):1906-1912
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of exoscope in resection of parasagittal meningioma.Methods A retrospective analysis was conducted on 50 patients with parasagittal meningioma undergoing surgical treatment in a same medical group of our neurosurgical department from March 2021 to March 2023.According to their surgical procedures,they were divided into exoscope group(n=22)and microscope group(n=28).The surgical efficacy,surgical complications and surgical experience were compared between the 2 groups and analyzed.Results There were no significant differences between the 2 groups in terms of sex ratio(male/female:10/12 vs 12/16),mean age(50.7±10.2 vs 52.3±11.1 years)and mean tumor size(20.79±25.04 vs 20.60±21.38 cm3).No statistical differences were observed in the duration of operation(217.73±59.66 vs 220.54±56.82 min),intraoperative blood loss(181.82±105.27 vs 189.29±103.06 mL),or total resection rate(90.9％vs 89.3％)between the 2 groups.Postoperative neurological dysfunction,infection rate and other complications also presented no notable differences between them.In the operation of parasagittal meningioma,exoscope can provide a larger view of the parasagittal sinus,such as the subdural border,which is difficult to be exposed by single microscope.Moreover,exoscope presented a higher level of comfort operating and better intraoperative teaching display compared to the surgical microscope.Conclusion For parasagittal meningiomas,exoscope is a safe and effective option,with similar surgical outcomes and postoperative complications as surgical microscope.What's more,exoscope presents more comfortable intraoperative ergonomic posture,higher surgical team participation,and better teaching effect.
