Observational studyActa neurochirurgica2021
4K 3-dimensional video microscope system (orbeye) for transsphenoidal pituitary surgery.
Observational study in Acta neurochirurgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 47 citations in OpenAlex.
- Histopathological and Quantitative Correlates of Intraoperative Narrow Band Imaging in Brain Metastasis Surgery.Cancers · 2026Article
- Microscopic vs. exoscopic transsphenoidal surgery for rathke's cleft cyst- a retrospective single center study.Neurosurgical review · 2026Article
- Comparing the ergonomic aspects of the exoscope and microscope in neurosurgery using motion sensors.Brain & spine · 2026Article
- Applying the technology ORBEYEJournal of applied biomedicine · 2025Article
- Clinical implementation of the 3D 4K exoscope (Orbeye™) in reconstructive head and neck surgery.Oral and maxillofacial surgery · 2025Article
- Microsurgical Resection of Meningiomas Using a 4K Three-Dimensional Exoscope: A Descriptive Observational Study.Cureus · 2024Article
- Comparative analysis of exoscope-assisted spine surgery versus operating microscope: A systematic review.World neurosurgery: X · 2024Review
- From Microscopic to Exoscopic Microsurgery: Are We Facing a Change of Paradigm?Advances and technical standards in neurosurgery · 2024Article
- Current and Future Advances in Surgical Therapy for Pituitary Adenoma.Endocrine reviews · 2023Article
- Beyond Magnification and Illumination: Ergonomics with a 3D Exoscope in Lumbar Spine Microsurgery to Reduce Musculoskeletal Injuries.Orthopaedic surgery · 2023Article
- Pituitary adenoma consistency affects postoperative hormone function: a retrospective study.BMC endocrine disorders · 2023Article
- Optimization of novel exoscopic blue light filter during fluorescence-guided resection of Glioblastoma.Journal of neuro-oncology · 2023Article
- Preliminary Clinical Surgical Experience with Temporary Simultaneous Use of an Endoscope during Exoscopic Neurosurgery: An Observational Study.Journal of clinical medicine · 2022Article
- What is the current clinical practice in pituitary adenoma surgery in Europe? European Pituitary Adenoma Surgery Survey (EU-PASS) results-technical part.Neurosurgical review · 2022Article
- Exoscope as a Teaching Tool: A Narrative Review of the Literature.Frontiers in surgery · 2022Review
- The Exoscope in Neurosurgery: An Overview of the Current Literature of Intraoperative Use in Brain and Spine Surgery.Journal of clinical medicine · 2021Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn previous reports on experiences with an exoscope, this new technology was not found to be applicable for transsphenoidal pituitary surgery. As a specialized center for pituitary surgery, we were using a 4K 3D video microscope (Orbeye, Olympus) to evaluate the system for its use in transsphenoidal pituitary surgery in comparison to conventional microscopy.
methodWe report on 296 cases performed with the Orbeye at a single institution. An observational study was conducted with standardized subjective evaluation by the surgeons after each procedure. An objective measurement was added to compare the exoscopic and microscopic methods, involving surgery time and the initial postoperative remission rate in matched cohorts.
resultsThe patients presented with a wide range of pathologies. No serious events or minor complications occurred based on the usage of the 4K 3D exoscope. There was no need for switching back to the microscope in any of the cases. Compared to our microsurgically operated collective, there was no significant difference regarding duration of surgery, complications, or extent of resection. The surgeons rated the Orbeye beneficial in regard to instrument size, positioning, surgeon's ergonomics, learning curve, image resolution, and high magnification.
conclusionsThe Orbeye exoscope presents with optical and digital zoom options as well as a 4K image resolution and 3D visualization resulting in better depth perception and flexibility in comparison to the microscope. Split screen mode offers the complementary benefit of the endoscope which may increase the possibilities of lateral view but has to be evaluated in comparison to endoscopic transsphenoidal procedures in the next step.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.