Reference Center for Advanced Medical Technology: Robotic Surgical Microscope developed at UKR
No hospital in the Free State uses a new robotic surgical microscope. Doctors at the Regensburg University Hospital (UKR) Clinic and Neurosurgery Clinic can thus act even more gently and safely. In addition, UKR participated as a reference center in development.
Brain tumor surgery, aneurysm surgery, spine surgery, or neurosurgical procedures in children. Complex operations are part of everyday life at UKR. This is especially true of the clinic and polyclinic for neurosurgery.
To be able to work safely in such operations, a modern surgical technique is required. With the new KINEVO surgical microscope from Carl Zeiss Meditec, UKR neurosurgeons are breaking new ground as no comparable device is being used in Bavaria.
Following the examination phase of the year, in mid-2017, UKR is the first hospital in Europe to use a microscope in the operating room. Although the microscope is used in both clinics in Ingolstadt and in Munich Großhadern in neurosurgery, but not with complete equipment, as is the case in the UKR.
The special feature is that the microscope not only provides high-resolution magnification, but also has an integrated endoscope (QEVO), which is jointly developed in the UKR, and has video and photo memory functions.
Act more efficiently, gently and safely
"The new surgical microscope allows us to have precise but gentle and safe action," says Professor Dr. Med. Karl-Michael Schebesch, Director General of the Clinic and Clinic of Neurosurgery UKR. Here, physician means not only a pure enlargement of the area to be operated, but above all additional functions.
"Thanks to 4K resolution and 3D technology, we can take a closer look because we can see our work area from different angles. In addition, everything we see through the microscope is projected onto a large monitor, which allows the entire surgical team to monitor the procedure and respond quickly."
Benefits, which are unlikely to be significant in the case of minor and complex interventions. "As a provider of maximal neurosurgical care, we want to offer our patients first-rate medical care. Therefore, we attach great importance to the advancement of the development of new instruments for medical advancement," adds Professor Dr. Med. Alexander Brawanski, Director of the Clinic and Clinic of Neurosurgery UKR.
Integrated endoscope – a medical novelty
The KINEVO microscope, in whose development UKR has played a leading role, represents such an advance in research. "Regensburg University Hospital has been working closely with Zeiss for many years. Our expertise has been sought as a European reference center. Therefore, it is only logical that we, together with the endoscope, have participated in the development of the manuscript in an advisory capacity," says enthusiastic Professor Schebesch.
"We were asked what functions such an endoscope absolutely needed and of course, we were happy to provide our practical knowledge. QUEVO is an absolute medical innovation worldwide and we are proud that we have been allowed to contribute to it," continues the experienced neurosurgeon.
This integrated endoscope greatly facilitates the work of medical professionals as it enables them to penetrate even more accurately to the sites where they will be operated. Especially for minimally invasive procedures – surgery without a major wound – the device is ideal.
Combined with high 4K resolution and 3D visualization, this is a huge step forward and a relief for the doctor and the patient, as even the hard-to-reach reach is clearly better visualized and contrasted.
Professor Schebesch: "The endoscope allows us to penetrate directly into a tumor or other place to operate, and the integrated camera provides us with perfect images." In addition, the so-called 800 infrared technology enables the surgeon, especially in the case of vascular surgery, such as angiomas or aneurysms, to accurately assess the direction and speed of blood flow to the vessels or vascular malformation.
"In this way, we can tailor our surgical strategy, such as which vessels we close in the angioma and in what order, to ensure that the drainage vessel remains open to the end. Congestive bleeding can be avoided, which further increases patient safety."
By reference center: UKR's international reputation
Given the focus of the Department of Neurosurgery, such as brain tumor surgery, spine surgery, and surgical treatment of movement disorders (deep brain stimulation with brain pacemakers), the microscope offers excellent capabilities and supports physicians' technical expertise in a technical manner.
Thanks to the new reminder feature, she also notes the exact location and the exact angle at which the operation was just performed, as Professor Schebesch explains: "For us, this is an absolute added value because critical points are stored and we can simply move to another location. you are being restored to the so-called lock and position memory. "
Of course, for the UKR, a microscope generally means improved patient care. Second, it contributes to intensive international networking.
Professor Schebesch: "Neurosurgeons from all over the world are coming to see this microscope in action. And of course, we are happy to pass on our knowledge to our colleagues to actively support medical advancement from Regensburg."
Katja Russwurm | idw – Science Information Service