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Background: Manual endoscope control during neuroendoscopic surgery may compromise visualization, ergonomics, and surgical workflow. Mechanical endoscope holders have been introduced to address these limitations, but their practical impact remains underexplored in neurosurgical field.

Materials and Methods: A cross-sectional survey was conducted at nine neurosurgical centers between April and June 2025. Twenty-seven participants (9 each of surgeons, assistants, and scrub nurses) with experience using a floor-mounted pneumatic endoscope holder (UniARM) completed a structured, role-specific questionnaire comprising usage patterns and 5-point Likert scale assessments of perceived benefits.

Results: Most surgeons had 5–10 years of experience and performed 20–40 endoscopic procedures annually. Endonasal and transorbital approaches were the most common indications for both endoscope and holder use. Holder use was preferred over manual holding in most procedures, except intraventricular cases. Surgeons reported high satisfaction, particularly for stable visualization (4.78 ± 0.44) and enhanced surgical focus (4.67 ± 0.50). Assistants gave consistently high scores across domains, particularly for reduced physical fatigue and improved task concentration (both 4.89 ± 0.33).

Scrub nurses highlighted improvements in procedural flow and team communication (4.44 ± 0.53), while ergonomic benefits were less pronounced (2.78 ± 0.44).

Conclusions: Mechanical endoscope holders were positively evaluated by all surgical team members, offering clear benefits in visual stability and workflow efficiency. While device limitations remain, their broader use may improve efficiency and team coordination in neuroendoscopic surgery.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Efficacy of endoscope in microvascular decompression surgery for hemifacial spasm = 안면 연축에 대한 미세혈관 감압술 시 내시경의 유용성 2예 : report of 2 cases Tae-Min Cheon, Kyung-Min Kim p. 98-105
Surgical management of pontine cavernous malformations = 교뇌 해면혈관기형의 수술적 치료 : 문헌 고찰 및 증례 중심 리뷰 : a focused review with case illustrations Won-Jae Lee, Kyuha Chong, Jung-Won Choi, Doo-Sik Kong, Do-Hyun Nam, Jung-Il Lee, Ho Jun Seol p. 49-60
Endoscopic transorbital approaches in neurosurgery : a bibliometric analysis of evolution, trends, and global contributions Juan L. Gómez-Amador, Rodolfo Villalobos-Díaz, Luis A. Rodríguez-Hernández, Tania Montserrat Jiménez-Molina, J. Tomás Moncada-Habib p. 61-71
Perceived benefits of endoscope holder use in neuroendoscopic procedures = 뇌 내시경 수술에서 내시경 홀더의 활용 효과에 대한 다기관 설문 분석 : a multi-institutional survey study Sae Min Kwon, Chang-Ki Hong p. 72-80
Surgical outcomes of the petroclival meningiomas related to tumor type = 추체사대부 뇌수막종의 종류에 따른 수술 결과 : 고전적 종양 분류 및 최근 수술기법에 따른 업데이트 : Classic tumor classification and recent updated surgical approaches Dong-Won Shin, Joonho Byun, Hyun Seok Lee, Heejun Yoo, Chang-Ki Hong p. 81-92
섬유성 이형성증에 의한 외이도 폐쇄증 = A case of external auditory canal stenosis due to fibrous dysplasia treated by canaloplasty with temporalis fascia and skin composite graft : 측두근막과 피부 복합 이식으로 폐쇄성형술을 시행한 1예 김혜빈, 임지형, 한재상, 박시내 p. 93-97
(A) case of facial erysipelas originating from the auricle = 이개로부터 발생한 안면부 단독 환자 1예 Beom Cho Jun p. 106-111

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