整体外科4.0 - - 对整体外科扩展现实干预的系统审查
Mikolaj R Kowal1, Thomas Williams2, Alexios Dosis1
1Leeds Institute of Medical Research, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Surgical innovation
|January 12, 2026
概括
扩展现实 (XR) 技术在改善肝脏手术患者的结果,减少并发症和改善患者体验方面表现有前途. 然而,在其他整体外科手术中还没有看到益处.
科学领域:
- 外科创新和数字健康应用.
背景情况:
- 手术存在重大风险,并发症影响16.4%的患者,导致全球7.7%的死亡.
- 手术的数字化,或手术的数字化.
- 外科4.0 手术4.0 在外科4.0
- ,利用扩展现实 (XR) 来增强外科手术期间的护理.
研究的目的:
- 探索XR技术在改善一般外科患者治疗结果方面的当前应用.
主要方法:
- 在2024年8月,对MEDLINE,EMBASE和Cochrane数据库进行了系统的文献搜索.
- 包括涉及XR用于术前规划,导航或成人整体外科患者经验的研究.
- 数据合成使用叙事方法进行.
主要成果:
- 分析了26项涉及1142名患者的研究;肝切除是研究最多的程序 (n=11).
- 放射性干预显著减少了停留时间,血液损失,手术时间和肝切除术中的并发症率.
- XR改善了患者的体验,显著减少了焦虑,疼痛,并改善了情绪得分 (n=5).
- 手动图像分割是常见的 (73%),昂贵 (650欧元),耗时 (3-6小时).
结论:
- 新兴证据表明,XR对肝脏手术结果和患者体验有好处.
- 在其他一般外科手术中XR的广泛益处尚未确定.
- 未来的研究应该优先考虑自动图像细分和强大的证据生成框架.
相关概念视频
01:05Data Collection III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
01:25Endoscopic Procedures II: Colonoscopy
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...