{"id":"011bcc76-3464-4a63-9a95-851bbe0ef971","slug":"assessment-of-head-mounted-display-for-exoscopic-neurosurgery","title":"Assessment of head-mounted display for exoscopic neurosurgery","authors":["Hirokuni Hashikata","Yoshinori Maki","Hideki Hayashi","Noriyoshi Takebe","Kazuya Otsuki","Takashi Hanyu","Masahito Yamashita","Kazuhiro Kasashima","Masahiro Sawada","Ryota Ishibashi","Namiko Nishida","Hiroki Toda"],"abstract":"Background: Head-mounted display (HMD) arises as an alternative display system for surgery. This study aimed to assess the utility of a stereoscopic HMD for exoscopic neurosurgery. Methods: The leading operator and assistants were asked to assess the various aspects of the HMD characteristics compared to the monitor display using a visual analog scale (VAS)-based questionnaire. The VAS score ranged from 0 to 10 (0, HMD was significantly inferior to the monitor; 5, HMD and monitor display were equal; and 10, HMD was significantly superior to the monitor). Results: The surgeons and assistants used and evaluated HMD in seven exoscopic surgeries: three tumor removal, one aneurysm clipping, one anterior cervical discectomy and fusion, and two cervical laminectomy surgeries. The leading operators’ assessment of HMD-based surgery was not different from monitor-based surgery; however, the assistants evaluated the field of view, overall image quality, and the assisting procedure as better in MHD-based surgery than monitor-based surgery (P = 0.039, 0.045, and 0.013, respectively). Conclusion: HMD-based exoscopic neurosurgery can be performed at a similar quality as monitor-based surgery. Surgical assistants may benefit from using HMD-based surgery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/011bcc76-3464-4a63-9a95-851bbe0ef971/featured/hero-1781559349693.png","publishDate":"2024-08-02T00:00:00.000Z","doi":"10.25259/SNI_395_2024","categories":["General Neurosurgery","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/08/13022/SNI-15-271.pdf"}