Journal of Japanese Society of Reconstructive Microsurgery
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
Feature Article : QOL of Microsurgeon - from 3K to 3D -
Preliminary Experience with the 4K3D ORBEYE ® for Head-up Micro-Neurological Surgery
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2020 Volume 33 Issue 3 Pages 118-123


Background: Many studies have compared head-up surgery and conventional microscopic surgery from an ergonomical viewpoint. We report the results of a user questionnaire survey about the initial experience with the surgical exoscope 4K3D ORBEYE and clarified its characteristics. We also report the results of head-up surgery combined with endoscopy.
Materials: We conducted a questionnaire survey on the initial experience of using the surgical exoscope 4K3D ORBEYE. There were 12 survey items, including image quality, eye strain, and endoscope movement function. Surgeries performed within the target period included tumor or hematoma removal, cerebral aneurysm clipping, and direct vascular anastomosis. In all cases, surgery was performed using a 4K3D 55-inch monitor with 3D glasses. Furthermore, the advantages and disadvantages of endoscopy combined with surgery were examined.
Results: Overall, 466 valid responses to the questionnaire survey were received from 22 subjects during the target period; 79.4% of subjects responded with “Good”. Moreover, 85.7% of subjects responded with “Good” for surgery combined with endoscopy.
Conclusions: Based on the limited initial experience, the ORBEYE outperformed the microscope from an ergonomic perspective. It is necessary to become accustomed to head-up surgery using 3D glasses.

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© 2020 Japanese Society of Reconstructive Microsurgery
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