MURAGAKI Yoshihiro
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Visiting Professor
Language English
Title Endoscopic endonasal approach in Smart Cyber Operation Theater (SCOT): preliminary clinical application
Conference CARS 2019 – 33rd International Congress and Exhibition
Conference Type International society and overseas society
Presentation Type Speech
Publisher and common publisherOGIWARA Toshihiro, NAGM Alhusain, GOTO Tetsuya, FUJII Yu, NAKAMURA T., HONGO Kazuhiro, OKAMOTO Jun, MURAGAKI Yoshihiro
Date 2019/06/21
Venue
(city and name of the country)		 Rennes, France
Society abstract CARS 2019 21(4) 2019
CARS 2019 – 33rd International Congress and Exhibition
Summary With the rapid development of surgical techniques and improvement
of instruments, the indications of endoscopic endonasal approach
(EEA) for skull base tumors have been expanding. However, some
practical limitations with respect to this procedure still exist. Consequently, safe operation requires the surgeon to be highly skilled.
The development and application of new multimodalities in EEA is
also essential to enhance the surgical results and prevent surgical
complications [1]. Some additional devices are necessary in the
armamentarium of neurosurgeons, such as neuronavigation, electrophysiological monitoring and intraoperative MRI. However, almost
every medical device in the operating room works as a stand-alone
device, because networking control is not available in the operating
theater. To resolve this problem, networked operating room called
Smart Cyber Operating Theater (SCOT) has been developed cooperated with medical-engineers [2]. In SCOT operation, various
surgical resources are connected by middleware called OPeLiNK.
With OPeLiNK various information can be stored in one synchronized timeline, such as location of surgical tools, navigation data,
neuromonitoring data, intraoperative histopathological data, etc.
Furthermore, intraoperative MRI is available in this room. This system allows efficient real-time intraoperative discussion between the
operating room and the Surgical Strategy Desk which is installed at
doctors office. Currently, we are developing this unique system for
the surgical removal of malignant tumors with craniotomy in neurosurgery, but it has not been applied for another surgical field. Here, we
report the application of this newly developed advanced type of
operating theater