{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:49Z","timestamp":1786125169840,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T00:00:00Z","timestamp":1543795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Cerebral bypass operation is a technically challenging operation that requires excellent surgical visibility and efficient ergonomics to minimize complications and maximize successful revascularization. Despite the operative microscope's utilization for the past two generations, there remains a need for continued improvement in operative visualization and surgical ergonomics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To report the positives and negatives of our initial experience using a novel 4 K high-definition (4K-HD) 3-dimensional (3D) exoscope (EX) for cranial bypass surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective review over 6 mo was performed of all patients who have undergone cerebral bypass surgery at a single institution using the 4K-HD 3D EX. Advantages and disadvantages of the EX and clinical outcome of the patients were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 5 patients underwent cerebral EC-IC bypass surgery with no EX-related complications and successful revascularization. The lightweight design of the EX allowed for easy instrument maneuverability as well as uncomplicated surgical set up in the operating room. The assistance of the cosurgeon was significantly more efficient compared to that of the operating microscope. The large monitor allowed for an immersive, collaborative, and valuable educational surgical experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Using the EX for cerebral bypass surgery, with 3D ultra-high-definition optics, enhancements of ergonomics, and improved training, we believe that the 3D 4K-HD EX may represent the next generation of operative scopes in microneurosurgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opy342","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T04:43:50Z","timestamp":1543812230000},"page":"157-163","source":"Crossref","is-referenced-by-count":53,"title":["Technical Aspects and Operative Nuances Using a High-Definition 3-Dimensional Exoscope for Cerebral Bypass Surgery"],"prefix":"10.1227","volume":"17","author":[{"given":"Erez","family":"Nossek","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"},{"name":"Division of Neurosurgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia R","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Kwan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kay O","family":"Kulason","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamik","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Rahme","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"},{"name":"Division of Neurosurgery, SBH Health System, Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Faltings","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Ellis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A","family":"Boockvar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J","family":"Langer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hosfstra\/Northwell, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,8]]},"reference":[{"issue":"4","key":"bib1-20231017","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1007\/s00701-017-3455-y","article-title":"Intraoperative tools for cerebral bypass surgery","volume":"160","author":"Esposito","year":"2018","journal-title":"Acta Neurochir"},{"key":"bib2-20231017","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.wneu.2015.12.029","article-title":"Superficial temporal artery to middle cerebral artery bypass via a minimized approach: Operative nuances and problem-solving 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