4K 3-dimensional video microscope system (orbeye) for transsphenoidal pituitary surgery

Area of Science:

• Neurosurgery
• Ophthalmology
• Medical Technology

Background:

• Previous reports indicated exoscopes were unsuitable for transsphenoidal pituitary surgery.
• This study evaluated the 4K 3D video microscope (Orbeye) for this specific application.
• The research was conducted at a specialized pituitary surgery center.

Purpose of the Study:

• To assess the applicability and efficacy of the Orbeye exoscope in transsphenoidal pituitary surgery.
• To compare the Orbeye exoscope with conventional microscopy in terms of surgical outcomes and surgeon experience.
• To evaluate the safety and benefits of the 4K 3D exoscope in pituitary surgery.

Main Methods:

• An observational study of 296 cases using the Orbeye exoscope.
• Standardized subjective surgeon evaluations post-procedure.
• Objective comparison with microsurgery cohorts, analyzing surgery time and remission rates.

Main Results:

• No serious complications or need to switch back to microscope occurred.
• Surgical duration, complication rates, and resection extent were comparable to microsurgery.
• Surgeons reported benefits in instrument size, ergonomics, image resolution, and magnification.

Conclusions:

• The Orbeye exoscope is a viable and beneficial tool for transsphenoidal pituitary surgery.
• It offers enhanced visualization (4K, 3D) and flexibility compared to microscopes.
• Further evaluation is needed for its combined use with endoscopic techniques.