영상유도 뇌수술 장비의 이용경험 - CANS Navigator -
Experience with an Image-Guided Surgery Device - CANS Navigator -
소속 상세정보
양희진
정희원/오창완/유헌/정천기/김동규/김현집/한대희/최길수
KMID : 0359819980270010071
Abstract
결론
저자들은 GANS navigator를 이용한 경험을 통하여 다음과 같은 결론을 얻었다.
1) 영상유도형 수술장비의 이용은 정확한 수술 중 위치파악을 도와주어 수술의 안전하고 신
속한 진행에 도움이 되었다
2) Mayfield head clamp를 교체한 것 이외에 추가적인 수술기구의 교체 없이 사용이 가능
하였고 사용상의 오차는 수술에 영향을 주지 않는 범위였다 수술 중 다른 장비와의 심각한
간섭현상은 발견되지 않았다
3) 향후 영상유도형 수술장비의 활발한 이용으로 보다 효과적인 수술이 가능하고 또한 최소
침습적인 수술이 발전할 것으로 생각된다.
#초록#
The authors describe their experience with the CANS navigator, which has been in
use since January 1997. The device uses magnetic field modulation technology for
intraoperative localization ; using a built-in scanner. a preoperative image with fiducial
markers is input to a computer, and intraoperative localization uses as suction-tube
integrated probe. During the previous then months, we have used the device to perform
surgery in 60 cases of brain lesion, mostly tumors. In five early cases. precise
intraoperative localization was not successful. probably due to error in image input or
registration, but after 2 months, there were only two failures, and for surgery, the
device was very helpful ; it was useful in the design of scalp incision and bone flap,
and for assessing the extent of resection in tumors, especially in cases in which
surrounding brain tissue was poorly demarcated, it was also helpful in skull base
surgery, in which precise localization of the work area is critical. The CANS navigator
uses a magnetic field for localization, but except for skull clamp, there was no
complication attributable to its use. We suggest that for neurosurgery, the CANS
navigator is a useful device ; it is helpful for performing minimally invasive surgery.
키워드
Image-guided surgery; CANS navigator; Magnetic field; Minimal invasive surgery; Brain tumor;
원문 및 링크아웃 정보
등재저널 정보