Disruptive Solution of Medical Endoscopy mu kulongoosa obusimu mu kuzuula n’okujjanjaba

1、 Okumenyawo enkyukakyuka mu kulongoosa ekizimba ky’ekiwanga n’ekizimba ky’omubiri ekiyitibwa pituitary

(1) Okulongoosa obusimu obuyitibwa neuroendoscopic okuyita mu nnyindo okuyita mu nnyindo (EEA) .

Okutaataaganyizibwa mu tekinologiya:

Tewali nkola ya kutema: Ggyawo ekizimba ng’oyita mu nkola y’ennyindo ey’obutonde okwewala okusika ebitundu by’obwongo mu kiseera ky’okusala omutwe.

Enkola ya 4K-3D endoscopic system (nga Storz IMAGE 1 S 3D): Ewa 16 μ m obuziba bw’okutegeera kw’ennimiro okwawula ensalo za pituitary microadenomas.

Ebikwata ku bujjanjabi:

(2) Endoscope ekola ku by’okutambulirako mu ngeri ya fluorescent

5-ALA okuwandiika mu ngeri ya fluorescent:

Okuweebwa asidi wa aminolevulinic mu kamwa nga tebannalongoosebwa kyaleetawo okumasamasa okumyufu mu butoffaali bw’ekizimba (nga Zeiss Pentero 900).

Omuwendo gwonna ogw’okusalako glioblastoma gweyongedde okuva ku bitundu 36% okutuuka ku bitundu 65% (NEJM 2023).

2、 Obujjanjabi obutono ennyo obw’ebiwundu by’obwongo mu ventricular n’obuziba

(1) Obulwadde bwa neuroendoscopic third ventricular fistula (ETV) .

Ebirungi ebiri mu by’ekikugu:

3mm endoscopic single channel puncture okujjanjaba obulwadde bwa obstructive hydrocephalus.

Okugeraageranya okulongoosa ventricular shunt: okwewala obulamu bwonna okwesigama ku shunt, okukendeeza ku muwendo gw’okukwatibwa okuva ku 15% okutuuka ku 1%.

Ebikozesebwa ebiyiiya:

Adjustable pressure balloon catheter: okulondoola mu kiseera ekituufu okutambula kwa stoma mu kiseera ky’okulongoosebwa (nga Neurovent-P).

(2) Okulongoosa omusaayi mu bwongo nga tuyambibwako endoscopic

Okukulaakulana mu tekinologiya:

Wansi w’eddirisa ly’amagumba erya sentimita 2, okulaba obutereevu mu endoscopic kukozesebwa okuggyawo hematoma (nga Karl Storz MINOP system).

Omuwendo gw’okugogola omusaayi mu basal ganglia gusukka ebitundu 90%, ate omutindo gw’okulongoosa mu bubonero bwa GCS oluvannyuma lw’okulongoosebwa gusinga ebitundu 40% okusinga ogw’okufulumya amazzi mu kusima.

3、 Okuyingira mu nsonga mu endoscopic ku bulwadde bw’emisuwa gy’obwongo

(1) Okusala emisuwa nga bayambibwako endoscopic

Ebikulu mu by’ekikugu:

Weetegereze ekitundu eky’emabega eky’ensingo y’ekizimba ng’okozesa endoscope eya 30 ° okwewala okusalako omusuwa gw’omuzadde mu butanwa (nga Olympus NSK-1000).

Omuwendo gw’okuzibikira mu bujjuvu kw’emisuwa egy’emabega egy’empuliziganya gweyongedde okuva ku bitundu 75% okutuuka ku bitundu 98%.

(2) Endoscopic emisuwa bypass graft

Enkola y’okusengejja anastomosis mu STA-MCA:

Enkola ya 2mm ultra-fine endoscope assisted suturing erina okweyongera kwa 12% mu patency rate bw’ogeraageranya n’okukola microscopic.

4、 Obujjanjabi obutuufu mu kulongoosa obusimu obukola

(1) Okuteekebwamu DBS nga bayambibwako endoscopic

Obuyiiya mu tekinologiya:

Okutunuulira endoscopic mu kiseera ekituufu ebigendererwa (nga STN nuclei), okudda mu kifo ky’okukakasa MRI mu kulongoosebwa.

Ensobi ya electrode offset y’abalwadde b’obulwadde bwa Parkinson eri wansi wa mm 0.3 (okulongoosa kwa fuleemu okw’ekinnansi kuli mm nga 1).

(2) Okukendeeza ku busimu obuyitibwa endoscopic decompression ku bulwadde bw’obusimu obuyitibwa trigeminal neuralgia

Okukendeeza ku buzito bw’emisuwa emitonotono (MVD):

Okuyita mu nkola ya 2cm keyhole, endoscopy yalaga ebifo ebikontana n’emisuwa gy’obusimu, era omuwendo omulungi ogw’okukendeeza ku bunkenke gwali 92%.

5、 Tekinologiya ow'amagezi n'okutambulira ku nnyanja

(1) Endoscope y’okutambulira ku busimu bwa AR

Okussa mu nkola mu ngeri ey’ekikugu:

Okufaananako ne Brainlab’s Elements AR, DICOM data esuubirwa mu kiseera ekituufu okutuuka mu kisaawe ky’okulongoosa.

Mu kulongoosa craniopharyngioma, obutuufu bw’okutegeera ekikolo kya pituitary buli 100%.

(2) Enkola y’okulabula mu kulongoosa AI

Okutegeera emisuwa AI:

Okufaananako ne Holosight eya Surgalign, ekola akabonero k’emisuwa egy’ebituli mu bifaananyi eby’omunda okukendeeza ku buvune obuva mu butanwa.

(3) Enkola y’okukwata endabirwamu ya roboti

Roboti ekwata endabirwamu:

Okufaananako ne NeuroArm eya Johnson Medical, emalawo okukankana kw’emikono mu musawo alongoosa era n’ekuwa okukuza ekifaananyi ekinywevu emirundi 20.

6、 Endagiriro za tekinologiya mu biseera eby’omu maaso

Endoscopy y’okukuba ebifaananyi bya molekyu:

Fluorescent nanoparticles ezigenderera obuziyiza bwa CD133 okuwandiika obutoffaali obusibuka mu glioma.

Okutonda obulwadde bwa fistula obuyambibwako stent ezivunda:

Stent ya magnesium alloy ekuuma okugguka kw’ekitundu eky’okusatu ekiyitibwa third ventricle fistula era eyingizibwa oluvannyuma lw’emyezi 6.

Okukebera obuzaale bw’amaaso:

Okusikirizibwa kw’ekitangaala kya bbululu obusimu obukyusiddwa mu buzaale okujjanjaba obulwadde bw’okusannyalala obutaziyiza (omutendera gw’okugezesa ebisolo).

Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ebiteeso ku nkola y’okussa mu nkola

Pituitary Tumor Center: Zimba ekisenge ky’okulongoosa ekya EEA+intraoperative MRI composite.

Ekitundu ky’obulwadde bw’emisuwa gy’obwongo: kirimu enkola ya endoscope fluorescence angiography three mode system.

Ekigendererwa ky’okunoonyereza: Okukola ekiziyiza omusaayi n’obwongo ekiyingira mu endoscopic fluorescent probe.

Tekinologiya ono asika okulongoosa obusimu okutuuka ku mulembe "ogutali gwa kuyingirira" okuyita mu kumenyawo okukulu okusatu: zero tensile damage, sub millimeter level precision, n'okukuuma emirimu gy'omubiri. Kisuubirwa nti omwaka 2030 we gunaatuukira, ebitundu 70% eby’okulongoosa omusingi gw’ekiwanga bijja kumalibwa nga bayita mu nkola z’obutonde ez’okukebera munda.