Volume 6, Pages (December 2016)

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Volume 6, Pages 45-50 (December 2016) Dual optical channel three-dimensional neuroendoscopy: Clinical application as an assistive technique in endoscopic endonasal surgery Koji Yoshimoto, MD, PhD, Nobutaka Mukae , MD, Daisuke Kuga, MD, PhD, Daisuke Inoue, MD, PhD, Makoto Hashizume, MD, PhD, Koji Iihara, MD, PhD Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Volume 6, Pages 45-50 (December 2016) DOI: 10.1016/j.inat.2016.08.001 Copyright © 2016 The Authors Terms and Conditions

Fig. 1 Photographs of a dual optical channel three-dimensional endoscope. The length and diameter of this rigid endoscope are 180mm and 4.7mm, respectively (A). It has a single high-definition charge-coupled device camera as well as straight and 30°-angled scopes (B) with dual optical channels (C). Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2016 6, 45-50DOI: (10.1016/j.inat.2016.08.001) Copyright © 2016 The Authors Terms and Conditions

Fig. 2 Intraoperative photographs of combination surgery using three-dimensional (3D) and two-dimensional (2D) endoscopy. The surgeon switches between endoscopic techniques depending on the surgical step — 3D endoscopic surgery is performed wearing polarizing glasses (A) and it is sometimes switched to the 2D mode of surgery (B), which can be performed with the polarizing glasses on, thus reducing the time spent on taking them on and off (B). Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2016 6, 45-50DOI: (10.1016/j.inat.2016.08.001) Copyright © 2016 The Authors Terms and Conditions

Fig. 3 Representative intraoperative images acquired by three-dimensional (3D) endoscopy in a six-year old patient with craniopharyngioma (A and B). The intraoperative images were displayed side-by-side so that a stereoscopic image could be obtained by crossing. An enhanced nodule located beneath the optic chiasm is identified deep in the intraoperative image (B). Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2016 6, 45-50DOI: (10.1016/j.inat.2016.08.001) Copyright © 2016 The Authors Terms and Conditions

Fig. 4 Representative images acquired by dual optical channel three-dimensional (3D) endoscopy (A) and Visionsense 3D endoscopy (B) in the same operative field and patient. Although these images do not completely reflect the stereoscopic effect of either technique, they were also displayed side-by-side so that a stereoscopic image could be obtained by crossing. Images A and B demonstrate the posterior aspect of the sphenoid sinus and dura of the sella. Note that the magnitude of binocular disparity is greater in A than in B, although image resolution of B is better compared to that of A. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2016 6, 45-50DOI: (10.1016/j.inat.2016.08.001) Copyright © 2016 The Authors Terms and Conditions