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在内环周围的解剖学标志的视觉过程,作为 laparoscopic inguinal hernia修复视野调整指南

Kentaro Shinohara¹, Takuya Saito², Kohei Yasui¹

¹Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Japan.

|April 29, 2025

概括

在机器人辅助的 inguinal hernia 修复过程中,下部上胃血管 (IEV) 和精管/精管 (MVS) 的角度会变化. 最初确认这些角度有助于摄像头的导航和视界调整,以便进行更安全的手术.

科学领域:

手术解剖学的手术解剖学
最少的侵入性手术是最少的侵入性手术.
医学成像医学成像

背景情况:

laparoscopic inguinal hernia 修复依赖于摄像头导航的解剖学地标.
下部上胃血管 (IEVs),精管和精子血管是常用的地标.
了解这些地标的空间方向对于外科精确度至关重要.

研究的目的:

在 laparoscopic inguinal hernia修复过程中调查内环周围的解剖学标志的视觉角度.
量化IEVs的角度和精管和精液血管 (MVS) 的中线.
评估这些地标在摄像头导航期间对地平线进行调整的实用性.

主要方法:

分析了70个机器人辅助 inguinal 修复手术 (2018-2022) 的视频录像.
测量IEVs,精管和精子血管的角度.
计算精管和精液血管 (MVS) 中线角的角度.
评估与地标角度相关的范围侧倾斜.

主要成果:

在IEV的平均角度是14.1°横向 (SD=15.9°).
MVS 的平均角度是 -1.5° 中间 (SD=15.8°).
这些结果表明,IEV和MVS没有保持一致的垂直方向.

结论:

在IEV和MVS的过程可以斜,而不是严格的垂直.
建议在手术开始时初步确认IEV和MVS角度.
这一确认可以指导视野调整,以改善腹腔镜 inguinal hernia 修复期间的摄像头导航.

关键词:

摄像机导航摄像机导航下部上胃血管下部上胃血管倒置的Y 倒置的Y 跨腹前前上 inguinal 的修复.

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