• World Neurosurg · Mar 2021

    Endoscopic Endonasal Approach in the Smart Cyber Operating Theater (SCOT®): preliminary clinical application.

    • Toshihiro Ogiwara, Tetsuya Goto, Yu Fujii, Takuya Nakamura, Yota Suzuki, Yoshiki Hanaoka, Kiyoshi Ito, Tetsuyoshi Horiuchi, and Kazuhiro Hongo.
    • Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan. Electronic address: togiwara@shinshu-u.ac.jp.
    • World Neurosurg. 2021 Mar 1; 147: e533-e537.

    BackgroundA next-generation networked operating room, Smart Cyber Operating Theater (SCOT), has been developed in cooperation with medical engineers that integrates standalone medical devices, including intraoperative magnetic resonance imaging (MRI) using the OPeLiNK communication interface. Here, we report the application of this newly developed advanced type of operating theater for the endoscopic endonasal approach (EEA), along with an evaluation of our initial experiences.MethodsThe study population consisted of 18 patients with parasellar tumor. All patients underwent surgery via the EEA in SCOT. During all procedures, various types of intraoperative information, including electrophysiologic monitoring, anatomic orientation with navigation system, intraoperative MRI, and endoscopic images of the operative field, were collected and stored by OPeLiNK. Furthermore, the intraoperative information was shared with the surgical strategy desk, where a senior neurosurgeon can direct and manage the surgical procedure in real-time.ResultsWe successfully completed the surgical procedures in SCOT in all cases. Using OPeLiNK, operators in SCOT were able to share various data, such as images obtained intraoperatively and surgical instrument position from navigation systems, as well as images of the surgical field, with senior neurosurgeons at the surgical strategy desk in all cases. Surgically relevant information from these sources was transmitted through an application and displayed to all surgical staff. The necessary nuances were reflected in the surgical procedures.ConclusionsSCOT, which is considered an innovative operation system in neurosurgery, enables both quality and safety in the EEA. Furthermore, the use of SCOT may also contribute to the education of young neurosurgeons.Copyright © 2020 Elsevier Inc. All rights reserved.

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