{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T21:58:52Z","timestamp":1772920732550,"version":"3.50.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Colorectal Dis"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Recently, exoscope was introduced as a more ergonomic alternative to microscope, mainly in nerve and spinal surgery. Exoscope use in general surgery is still experimental and just few reports are present in literature. Here, we describe for the first time its application in transanal surgery, specifically during the transanal transection and single-stapled anastomosis in ileal-pouch anal anastomosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>After completing the proctectomy and pouch formation laparoscopically, two surgeons performed the transanal transection and single-stapled anastomosis using the vision provided by the ORBEYE\u2122 exoscope system with a 3D 4K orbital camera and a 55-inches 3D screen. The transanal procedure was carried out with the surgeons looking at the 3D screen rather than at the operating field.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The system subjectively provided excellent operative view thanks to the magnification capacity and the high resolution. The ergonomics was improved compared to classical transanal surgery, allowing the operators and observers to have the same view in a comfortable position. In particular, the exoscope magnified vision allowed for clearer demonstration of techniques to trainees.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This is the first report on the intraoperative application of the ORBEYE\u2122 surgical exoscope in transanal surgery. The magnified vision allowed precise movements and the system appeared potentially a ground-breaking tool for surgical training. The ability to project high-quality images to observers make it ideal for teaching complex transanal procedures<jats:bold>.<\/jats:bold> Further studies are encouraged to validate this approach into standard colorectal practice.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00384-024-04739-z","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T14:53:59Z","timestamp":1729004039000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Enhanced transanal surgery training through a 4K 3D surgical exoscope: a novel approach for transanal surgery"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1493-1768","authenticated-orcid":false,"given":"Antonino","family":"Spinelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonidas","family":"Chardalias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Carvello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Sacchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro","family":"Siragusa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlotta","family":"La Raja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"issue":"4","key":"4739_CR1","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1002\/micr.30547","volume":"40","author":"FI Ahmad","year":"2020","unstructured":"Ahmad FI et al (2020) Application of the ORBEYE three-dimensional exoscope for microsurgical procedures. Microsurgery 40(4):468\u2013472. https:\/\/doi.org\/10.1002\/micr.30547","journal-title":"Microsurgery"},{"issue":"8","key":"4739_CR2","doi-asserted-by":"publisher","first-page":"2107","DOI":"10.1007\/s00701-021-04838-8","volume":"163","author":"M Amoo","year":"2021","unstructured":"Amoo M, Henry J, Javadpour M (2021) Beyond magnification and illumination: preliminary clinical experience with the 4K 3D ORBEYE\u2122 exoscope and a literature review. Acta Neurochir 163(8):2107\u20132115. https:\/\/doi.org\/10.1007\/s00701-021-04838-8","journal-title":"Acta Neurochir"},{"issue":"7","key":"4739_CR3","doi-asserted-by":"publisher","first-page":"2492","DOI":"10.3390\/jcm12072492","volume":"12","author":"M D\u2019Ambra","year":"2023","unstructured":"D\u2019Ambra M, Tedesco A, Iacone B, Bracale U, Corcione F, Peltrini R (2023) First application of the Orbeye\u2122 4K 3D exoscope in recurrent papillary thyroid cancer surgery. JCM 12(7):2492. https:\/\/doi.org\/10.3390\/jcm12072492","journal-title":"JCM"},{"issue":"1","key":"4739_CR4","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1177\/1553350620965344","volume":"28","author":"F Corcione","year":"2021","unstructured":"Corcione F et al (2021) Use of the ORBEYE \u2122 Exoscope in general surgery: the advent of video-assisted open surgery. Surg Innov 28(1):79\u201384. https:\/\/doi.org\/10.1177\/1553350620965344","journal-title":"Surg Innov"},{"issue":"4","key":"4739_CR5","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1016\/j.surg.2023.06.027","volume":"174","author":"A Spinelli","year":"2023","unstructured":"Spinelli A et al (2023) Transanal transection and single-stapling techniques are associated with shorter rectal cuff and lower urgency rate after pouch surgery compared with the double-stapled approach. Surgery 174(4):808\u2013812. https:\/\/doi.org\/10.1016\/j.surg.2023.06.027","journal-title":"Surgery"},{"issue":"1","key":"4739_CR6","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1097\/SLA.0000000000004180","volume":"273","author":"NA Bilbro","year":"2021","unstructured":"Bilbro NA et al (2021) The IDEAL reporting guidelines: a delphi consensus statement stage specific recommendations for reporting the evaluation of surgical innovation. Ann Surg 273(1):82\u201385. https:\/\/doi.org\/10.1097\/SLA.0000000000004180","journal-title":"Ann Surg"},{"issue":"1","key":"4739_CR7","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1007\/s10143-021-01577-3","volume":"45","author":"J R\u00f6sler","year":"2022","unstructured":"R\u00f6sler J et al (2022) Clinical implementation of a 3D4K-exoscope (Orbeye) in microneurosurgery. Neurosurg Rev 45(1):627\u2013635. https:\/\/doi.org\/10.1007\/s10143-021-01577-3","journal-title":"Neurosurg Rev"},{"issue":"2","key":"4739_CR8","first-page":"73","volume":"13","author":"G Buess","year":"1983","unstructured":"Buess G et al (1983) Transanal endoscopic surgery of the rectum - testing a new method in animal experiments. Leber Magen Darm 13(2):73\u201377","journal-title":"Leber Magen Darm"},{"issue":"9","key":"4739_CR9","doi-asserted-by":"publisher","first-page":"2200","DOI":"10.1007\/s00464-010-0927-z","volume":"24","author":"S Atallah","year":"2010","unstructured":"Atallah S, Albert M, Larach S (2010) Transanal minimally invasive surgery: a giant leap forward. Surg Endosc 24(9):2200\u20132205. https:\/\/doi.org\/10.1007\/s00464-010-0927-z","journal-title":"Surg Endosc"},{"issue":"5","key":"4739_CR10","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1007\/s00464-010-0965-6","volume":"24","author":"P Sylla","year":"2010","unstructured":"Sylla P, Rattner DW, Delgado S, Lacy AM (2010) NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 24(5):1205\u20131210. https:\/\/doi.org\/10.1007\/s00464-010-0965-6","journal-title":"Surg Endosc"},{"issue":"1","key":"4739_CR11","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s00384-024-04646-3","volume":"39","author":"A VivasL\u00f3pez","year":"2024","unstructured":"VivasL\u00f3pez A et al (2024) Low anterior resection with transanal transection and single-stapled anastomosis: technical aspects and initial results. Int J Colorectal Dis 39(1):85. https:\/\/doi.org\/10.1007\/s00384-024-04646-3","journal-title":"Int J Colorectal Dis"}],"container-title":["International Journal of Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-024-04739-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00384-024-04739-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-024-04739-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T09:27:20Z","timestamp":1736328440000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00384-024-04739-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,15]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4739"],"URL":"https:\/\/doi.org\/10.1007\/s00384-024-04739-z","relation":{},"ISSN":["1432-1262"],"issn-type":[{"value":"1432-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,15]]},"assertion":[{"value":"10 October 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 October 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. The IRCCS Humanitas Research Hospital Ethics Committee has confirmed that no ethical approval is required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Antonino Spinelli acted as a speaker\/consultant for Johnson&Johnson and Stryker. Michele Carvello acted as speaker for Takeda and Pfizer. Carlotta La Raja, Leonidas Chardalias, Matteo Sacchi e Leandro Siragusa declare that they have no conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"163"}}