The Journal of Practical Medicine >

2025 , Vol. 41 >Issue 3: 371 - 378

DOI: https://doi.org/10.3969/j.issn.1006-5725.2025.03.010

Clinical Research

Treatment effect and safety analysis of intraspinal tumor under 3D microscope

  • Jiahao CHEN ,
  • Yong HUANG ,
  • Ruibing FENG ,
  • Xiaofeng DUAN ,
  • Gang WU ,
  • Yizheng HUANG ,
  • Haitao ZHANG ,
  • Chao LI ,
  • Yinshuai DING ,
  • Hao. HU
Expand
  • *.The First Clinical Medical College of Hubei University of Traditional Chinese Medicine，Wuhan 430060，Hubei，China

Received date: 2024-06-24

  Online published: 2025-02-19

Fold

Abstract

Objective To investigate the clinical treatment effect and safety of 3D microscopy technology for adjuvant neuraxial tumor resection on neuraxial tumor diseases. Methods A total of 37 patients with neuraxial tumors treated from January 2019 to July 2023， 15 patients treated with 3D microscope tumor resection （3D group）， and 22 patients treated with general microscope tumor resection （ordinary group） were analyzed. The perioperative indexes， clinical efficacy indexes and safety indexes were compared between the two groups. Results The operation time was （223.78 ± 46.46） min in the ordinary group and （182.93 ± 39.28） min in the 3D group， which was significantly lower than that in the ordinary group （P < 0.05）， and there was no significant difference in other perioperative indicators between the two groups （P > 0.05）. All patients had significantly reduced their postoperative pain symptoms and recovered their neurological function to a certain extent. There were statistically significant differences between the two groups （P < 0.01）， but there was no statistical difference between the two groups （P > 0.05）， and the McCormick spinal cord function rating was grade I. at one year after surgery. Conclusion The use of 3D microscopy and general microscopy for neuraxial tumor surgery has good clinical efficacy. However， the operation time can be significantly shortened under 3D microscopy， thereby reducing the risk of surgical complications and has better clinical safety.

Key words： 3D microscope; intraspinal tumor; intraspinal tumor resection; efficacy; safety

Cite this article

Jiahao CHEN , Yong HUANG , Ruibing FENG , Xiaofeng DUAN , Gang WU , Yizheng HUANG , Haitao ZHANG , Chao LI , Yinshuai DING , Hao. HU . Treatment effect and safety analysis of intraspinal tumor under 3D microscope[J]. The Journal of Practical Medicine, 2025 , 41(3) : 371 -378 . DOI: 10.3969/j.issn.1006-5725.2025.03.010

References

1 史航，王杨，朱裕成，等. 手术治疗68例椎管内肿瘤的疗效分析［J］. 东南大学学报（医学版），2016，35（1）：67-70.
2 陈燕芳，梁璇坤，梁建芬，等. 早期康复训练联合心理护理对腰骶部椎管内肿瘤术后膀胱功能恢复的影响［J］. 中国骨与关节损伤杂志，2020，35（9）：968-970.
3 郑伟，李娜，刘磊，等. 无肌松药条件下气管插管后即刻监测运动诱发电位基线在腰椎手术中的应用［J］. 实用医学杂志，2024，40（16）：2298-2304.
4 王晓锋，程福宏，翁润民，等. 半椎板入路切除与全椎板入路切除合并脊柱内固定治疗椎管内原发肿瘤的研究［J］. 实用癌症杂志，2016，31（11）：1812-1815.
5 KWAN K， SCHNEIDER J R， DU V， et al. Lessons Learned Using a High-Definition 3-Dimensional Exoscope for Spinal Surgery［J］. Oper Neurosurg （Hagerstown）， 2019，16（5）：619-625. doi:10.1093/ons/opy196
6 DE DIVITIIS O， D'AVELLA E， DENARO L， et al. VITOM?-3D： preliminary experience with intradural extramedullary spinal tumors［J］. J Neurosurg Sci， 2022，66（4）：356-361. doi:10.23736/s0390-5616.19.04666-6
7 OERTEL J M， BURKHARDT B W. Vitom-3D for Exoscopic Neurosurgery： Initial Experience in Cranial and Spinal Procedures［J］. World Neurosurg， 2017，105：153-162. doi:10.1016/j.wneu.2017.05.109
8 BURKHARDT B W， CSOKONAY A， OERTEL J M. 3D-exoscopic visualization using the VITOM-3D in cranial and spinal neurosurgery. What are the limitations？［J］. Clin Neurol Neurosurg， 2020，198：106101. doi:10.1016/j.clineuro.2020.106101
9 ROTERMUND R， REGELSBERGER J， OSTERHAGE K， et al. 4K 3-dimensional video microscope system （orbeye） for transsphenoidal pituitary surgery［J］. Acta Neurochir （Wien）， 2021，163（8）：2097-2106. doi:10.1007/s00701-021-04762-x
10 李军杰，唐兰兰，杨镇源，等. 天玑机器人改良导航系统在脊柱内镜髓核摘除术中的应用［J］. 实用医学杂志，2023，39（12）：1564-1570. doi:10.3969/j.issn.1006-5725.2023.12.018
11 SONG Z， ZHANG Z， YE Y， et al. Efficacy analysis of two surgical treatments for thoracic and lumbar intraspinal tumours［J］. BMC Surg， 2019，19（1）：131. doi:10.1186/s12893-019-0602-9
12 DUAN Y， MA J， MIAO S， et al. Comparison of Total Laminectomy and Pedicle Screw Internal Fixation with Ultrasonic- and Microscopic-Assisted Laminectomy Replantation for Tumors of the Lumbar Spinal Canal： A Retrospective Study of 60 Cases from a Single Center［J］. Med Sci Monit， 2021，27：e931768. doi:10.12659/msm.931768
13 ZHOU D， NONG L M， GAO G M， et al. Application of lamina replantation with ARCH plate fixation in thoracic and lumbar intraspinal tumors［J］. Exp Ther Med， 2013，6（2）：596-600. doi:10.3892/etm.2013.1170
14 胡入元，米明珊. 椎管内肿瘤的诊断和手术治疗方式及其术后影响［J］. 临床医学进展，2023，13（9）：13999-14004.
15 WEWERS M E， LOWE N K. A critical review of visual analogue scales in the measurement of clinical phenomena［J］. Res Nurs Health， 1990，13（4）：227-236. doi:10.1002/nur.4770130405
16 杨瑞鑫，李天栋，彭冲奇，等. 脊髓髓内肿瘤显微手术治疗分析［J］. 中国临床神经外科杂志，2023，28（12）：693-695，700.
17 JIANG L， LUO J， GONG H， et al. Clinical and Biomechanical Study of Laminoplasty for Thoracic and Lumbar Intradural Tumors［J］. J Clin Med， 2023，12（1）：355. doi:10.3390/jcm12010355
18 LIU Z， ZHENG J H， YUAN N， et al. Comparison of the clinical effects of lamina replantation and screw fixation after laminectomy in the treatment of intraspinal tumours［J］. J Orthop Surg Res， 2023，18（1）：617. doi:10.1186/s13018-023-04066-z
19 FELER J， SUN F， BAJAJ A， et al. Complication Avoidance in Surgical Management of Vertebral Column Tumors［J］. Curr Oncol， 2022，29（3）：1442-1454. doi:10.3390/curroncol29030121
20 谢嵘， 寿佳俊， 陈功， 等. 微创通道在椎管肿瘤手术中的应用［J］. 中华医学杂志， 2020，100（4）：265-269.
21 陈文明，康健，张婷，等. 显微镜辅助下联合脊柱内固定治疗椎管内肿瘤的效果分析［J］. 中国当代医药，2021，28（26）：88-90.
22 陈杰文，李春海.3D显微镜在脊柱外科手术中的应用［J］.中国骨与关节损伤杂志，2020，35（3）：273-274.
23 MOTOV S， BONK MN， KRAUSS P， et al. Implementation of a three-dimensional （3D） robotic digital microscope （AEOS） in spinal procedures［J］. Sci Rep， 2022，12（1）：22553. doi:10.1038/s41598-022-27082-1
24 KHALESSI A A， RAHME R， RENNERT R C， et al. First-in-Man Clinical Experience Using a High-Definition 3-Dimensional Exoscope System for Microneurosurgery［J］. Oper Neurosurg （Hagerstown）， 2019，16（6）：717-725. doi:10.1093/ons/opy320
25 AMOO M， HENRY J， JAVADPOUR M. Beyond magnification and illumination： Preliminary clinical experience with the 4K 3D ORBEYE? exoscope and a literature review［J］. Acta Neurochir （Wien），2021，163（8）：2107-2115. doi:10.1007/s00701-021-04838-8
26 SAMAHA Y， RAY E. Three-Dimensional Video Microscopy： Potential for Improved Ergonomics without Increased Operative Time？ ［J］. Arch Plast Surg， 2023，50（1）：125-129. doi:10.1055/s-0042-1758768
27 LIN H， CHEN F， LIN T， et al. Beyond Magnification and Illumination： Ergonomics with a 3D Exoscope in Lumbar Spine Microsurgery to Reduce Musculoskeletal Injuries［J］. Orthop Surg， 2023，15（6）：1556-1563. doi:10.1111/os.13737
28 SILLER S， ZOELLNER C， FUETSCH M， et al. A high-definition 3D exoscope as an alternative to the operating microscope in spinal microsurgery［J］. J Neurosurg Spine， 2020，33（5）：705-714. doi:10.3171/2020.4.spine20374
29 LAYARD HORSFALL H， MAO Z， KOH C H， et al. Comparative Learning Curves of Microscope Versus Exoscope： A Preclinical Randomized Crossover Noninferiority Study［J］. Front Surg， 2022，9：920252. doi:10.3389/fsurg.2022.920252
30 COLOMBO G， FERRELI F， DI BARI M， et al. Introducing the High-definition 3D exoscope in ear surgery： Preliminary analysis of advantages and limits compared with operative microscope［J］. Eur Arch Otorhinolaryngol， 2021，278（11）：4217-4223. doi:10.1007/s00405-020-06510-w
Options
Outlines

/

〈 〉