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For the first time in the world, the surgeon operates in the abdomen with the esoscopio 3D
A CALIPER of four inches you see as big as an umbrella. The needle only a few millimeters is the size of a sickle, while the thread from the suture, to your eyes it becomes a rope. Beyond every imagination. The esoscopio 3-D high-resolution to 4 K (the scale of definition and sharpness), the legitimate heir of the system videointerventistico of the laparoscopy , today is officially entered in the surgery open, the one that provides for the opening of the abdomen and direct contact of the operator with the organs and tissues of the patient.

For the first time in the world, reveals Franco Corcione , professor of general Surgery at the Federico II of Naples, has been used OrbEye, the device of pioneering that should revolutionize the complex world of the scalpel. And also gave it a name the surgeon (a Video-Assisted Open Surgery,) to the revolution, the even more extraordinary if you think that only until a few years ago the traditional surgery seemed to be relegated to the role of cinderella. Supplanted in large part by Laparoscopy and endoscopic techniques. But no, the masters of the scalpel back to the great on the scene, even if supported (and it's not the stuff recently) by a method of magnification and interaction that would leave stone the pioneers of the discipline of the last century.

just to give you an idea, assuming that your experience is transferable, the vision of an artery or a segment of the intestine, materializes with the operator's hands, which circumscribes the boundaries and thickness. Well over virtual reality . The operated patients to the New hospital of Naples, which now share the record with the team led by Corcione, are already four. All of them with malignancies: pancreas, esophagus, tumour retro-peritoneal, and sarcoma. Clinical cases that could not be treated with laparoscopic surgery. Let's see. It starts with the surgeon in front of the abdomen opened through a camera on the arm with unlocking the tyre, you will zoom some anatomical districts that will appear on a screen 55 inches, with high-resolution images and three-dimensional. The focus is automatic, while the zoom is adjustable by the surgeon. And here enter the track OrbEye, he magnificent images and is able to return views using filters of light: white light infrared that lights up the whole field, and blue light to highlight the areas of cancer and NBI (narrow band imaging) which allows you to check the vascularity of the organs at the end of intervention. And the operator? From the outside, but as “immersed” in the operative field (as happens in a 3D movie), via a wireless foot pedal will impart instructions to the system, to achieve any kind of micro-movements, also exploiting the possibility to focus and zoom in and out, depending on the manoeuvre.

"The fields of application are many. From reconstructive surgery esophageal , to the hepato-biliary-pancreatic, beyond that essential for the removal of neoplastic masses adherent to other vital structures and, also, to remove the nodules the lymphatic possibly involved by the tumor," said Corcione. But what is the advantage principe compared to traditional surgery? "In the vision of both operators, for a particular image processing system," answered the surgeon - see the same image on the monitor, even if in front of the operative field are in opposite position with respect to the camera. Moreover, for this prerogative, it will also be an excellent educational tool, because it allows those who are not entered in the team work, see the same images". But Corcione remains down-to-earth. And he adds: "to Emphasize the new technology is great, but it should be reiterated that no tool, while innovative, can ever eliminate the risks and complications that each operation brings with it."

“It's like having the view of Superman. It feels like those who came for the first time on the Moon.” Are the metaphors that not even two years ago – at the time he wrote the New York Times - used the neurosurgeons invited from the audience to assist in an operation the experimental conduct at Lenox Hill Hospital in Manhattan. An intervention in which the main character was just a tool, the Orbeye, which “transforms neurosurgery in a shipping addictive and dizzying inside of the human brain”. The Lenox was the first in America to introduce the technology, but only for neurosurgery. And today from Naples, the first experience of OrbEye surgery open: 3D glasses and away to an equally exciting journey therapeutic.

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