虚拟现实辅助儿科胸腔镜分片切除术的术前规划:一项回顾性研究
Yang Wang1,2, Yang Xu2, Zhiqi Wang2
1Clinical Medical School, Qinghai University, Xining, China.
BMC pediatrics
|October 28, 2025
概括
头部显示虚拟现实 (HMD-VR) 辅助儿科胸腔镜细分切除术用于先天性囊性肺形. 这项技术增强了手术规划,改善了结果,并使膜节约切除成为可能.
科学领域:
- 儿科手术 儿科手术
- 医疗成像医学成像
- 虚拟现实应用 虚拟现实应用
背景情况:
- 遗传性囊性肺形 (CCLM) 需要护体膜节约切除.
- 胸腔镜分片切除术可以保护肺组织,但需要先进的手术前可视化.
- 头部显示虚拟现实 (HMD-VR) 被评估为儿科细分切除术中的手术规划.
研究的目的:
- 评估HMD-VR在儿科胸腔镜细分切除术中的外科规划的可行性和有效性.
- 评估HMD-VR对外科手术期间指标和解剖学准确性的影响.
- 确定HMD-VR在需要多段切割的复杂CCLM管理中的潜力.
主要方法:
- 19名儿科患者 (4至148个月) 接受了VR辅助胸腔镜分片切除术.
- 从CT数据中使用Medicalholodeck®软件创建了针对患者的3D模型.
- 外科医生在沉浸式HMD-VR环境中练习手术,以计划剖析和评估解剖学.
主要成果:
- 所有的19个程序都通过胸腔镜完成,没有转换.
- 平均手术时间为116.3分钟,输血量为29.5毫升.
- 多段切除显示了手术时间和血液损失的增加,但与单段切除相比,并发症没有差异.
结论:
- HMD-VR为复杂的儿科肺部解剖学提供了精确的空间映射.
- 沉浸式虚拟现实规划优化了手术轨迹,并降低了手术中的风险.
- 在CCLM管理中,HMD-VR显示了对膜保护的变革潜力.
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