3D Exoscope-Assisted Microvascular Anastomosis: An Evaluation on Latex Vessel Models

Area of Science:

• Microsurgery and Supermicrosurgery
• Digital Imaging Technologies
• Surgical Magnification Systems

Background:

• Advances in digital imaging have introduced new systems for microsurgery.
• The exoscope offers a 3D view of the surgical field for enhanced microsurgical procedures.
• This study evaluates a high-definition 3D exoscope (VITOM) for microanastomosis training.

Purpose of the Study:

• To evaluate the characteristics of the VITOM 3D 4K exoscope.
• To assess its utility as a magnification device for microanastomosis training.
• To explore its potential in microsurgical education.

Main Methods:

• Six microsurgeons performed end-to-end and end-to-side anastomoses on latex models.
• The VITOM 3D 4K exoscope was used as the sole magnification system.
• Surgeons had no prior experience with exoscopes, robotic, or endoscopic surgery.

Main Results:

• The exoscope demonstrated good focusing, high image quality, luminance, magnification, and stereoscopy.
• It offered excellent freedom of movement and was user-friendly.
• Reduced anastomosis times, superior ergonomics, and improved assistant visualization were noted.

Conclusions:

• The VITOM 3D exoscope is effective for microsurgical anastomosis on synthetic vessels.
• It serves as a valuable tool for microsurgery training courses.
• The technology enhances visualization and ergonomics in microsurgical procedures.