实时尿道导航中的术内技术. 一个简短的叙事回顾和一个视频片
Jayan Dewantha Jayasinghe1, Valentin Butnari1,2, Kylin Weiguang Hu1
1Department of Colorectal Surgery, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
Frontiers in surgery
|October 13, 2025
概括
通过先进的可视化技术,在结直肠手术期间预防尿路损伤. 术内尿道导航,包括印ocyanine绿色 (ICG) 光,增强了复杂的骨盆解剖的安全性和训练.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术导航 手术导航
- 最少侵入性的手术
背景情况:
- 术内尿道损伤是盆腔手术中已知的并发症,通常与外科医生的缺乏经验有关.
- 有几种技术可以帮助在盆腔解剖期间识别和保护尿道,特别是在复杂或重复的手术中.
- 本综述侧重于结直肠外科手术中的手术内泌尿器识别方法,其中包括用于实时导航的印ocyanine Green (ICG).
研究的目的:
- 审查目前在结直肠外科手术中进行手术内尿路鉴定的技术.
- 为了展示印ocyanine Green (ICG) 在微创骨盆手术期间实时尿管识别中的实用性.
- 突出预防尿道损伤和改善外科手术培训方面的进展.
主要方法:
- 在2025年5月14日之前进行了PubMed文献搜索,寻找结直肠外科手术中手术内尿道导航的文章.
- 分析了描述结直肠手术中尿管识别技术的文章.
- 定性合成确定了关键主题,视频片段展示了ICG在腹腔镜哈特曼逆转中的使用.
主要成果:
- 确定的技术包括图像引导 (光成像,超声波),计算机辅助/增强现实导航 (3D模型,AR,AI) 和机械辅助.
- 这些方法通过预防尿道损伤,改善了复杂结直肠手术的结果.
- 技术增强了训练过程,特别是复杂和重复手术.
结论:
- 图像引导手术和增强现实正在结直肠外科手术中迅速发展.
- 通过ICG证明的手术内泌尿器导航,简化和增强了挑战粘结解的安全性.
- 这些技术有助于在复杂的手术中进行手术培训,或重复微创的骨盆手术.
相关概念视频
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
1.1K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
1.1K
01:25Urinary Tract Calculi VI: Surgical Management
379
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
379
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
1.2K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
1.2K
01:24Imaging Studies II: Ultrasonography
350
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
350
01:19Imaging Studies VII: Vascular Imaging
311
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
311
01:27Imaging Studies IV: Magnetic Resonance Imaging
221
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
221