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Updated: Jan 4, 2026

Video-rate Scanning Confocal Microscopy and Microendoscopy
Published on: October 20, 2011
A novel hybrid 3D endoscope zooming and repositioning system: Design and feasibility study
Tim De Pauw1, Alain Kalmar2, Dirk Van De Putte3
1Department of Neurosurgery, Ghent University Hospital, Ghent, Belgium.
Background:
Manipulation of the endoscope during minimally invasive surgery is a major source of inconvenience and discomfort. This report elucidates the architecture of a novel one-hand controlled endoscope positioning device and presents a practicability evaluation.
Methods And Materials:
Setup time and total surgery time, number and duration of the manipulations, side effects of three-dimensional (3D) imaging, and ergonomic complaints were assessed by three surgeons during cadaveric and in vivo porcine trials.
Results:
Setup was accomplished in an average (SD) of 230 (120) seconds. The manipulation time was 3.87 (1.77) seconds for angular movements and 0.83 (0.24) seconds for zooming, with an average (SD) of 30.5 (16.3) manipulations per procedure. No side effects of 3D imaging or ergonomic complaints were reported.
Conclusions:
The integration of an active zoom into a passive endoscope holder delivers a convenient synergy between a human and a machine-controlled holding device. It is shown to be safe, simple, and intuitive to use and allows unrestrained autonomic control of the endoscope by the surgeon.
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