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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 601-607
DOI: 10.4103/ajns.AJNS_339_19
Original Article

A practice survey to compare and identify the usefulness of neuroendoscope and exoscope in the current neurosurgery practice

Sunil Panchal
1   Department of Neurosurgery, GNRC Hospitals, North Guwahati, Assam, India
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Yasuhiro Yamada
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Tetsuya Nagatani
3   Department of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya
,
Tadashi Watanabe
4   Department of Neurosurgery, Aichi Medical University, Nagakute
,
Yugo Kishida
3   Department of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya
,
Ahmed Sayah
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Yoko Kato
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
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Background: The present era is of new tools and technique. Handling of new challenges require, better understanding of microscopic anatomy, which requires better magnification and light. Microscope has played significant role in this, use of endoscope and introduction of exoscope have given new dimensions to this field. Aim: This study aims to compare and see the advantages, disadvantages of endoscope with exoscope, will analyze the difference in terms of ergonomics, learning curve, opportunities for training, operating time, magnification, and image quality. Materials and Methods: This study was conducted in the Department of Neurosurgery, Bantane Hospital Fujita Health University, Japan. Apart from comparing the specifications of available systems, we conducted a worldwide survey of the two systems through sending questionnaire through mail collected responses and analyzed them. Results: Learning curve, magnification, image quality, and ergonomics favors exoscope but depth perception and maneuverability, hand eye coordination, tactile sensation, and usage of different angulation tubes favored endoscope to be superior to exoscope. Conclusion: There is more scope for modifications and research in both the instruments. These instruments are not replacement of either and should be used according to their indications.

Key-words:

Endoscope - exoscope - survey

Financial support and sponsorship

Nil.




Publication History

Received: 18 November 2019

Accepted: 26 March 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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