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机器人辅助部分切除术与没有混合现实 - REALITATEM研究
Dorival Manrique Duarte1,2, Pietro Waltrick Brum3, Milton Berger1,2
1Universidade Federal do Rio Grande do Sul - UFRS, Porto Alegre, RS, Brasil.
概括
混合现实 (MIXREAL) 在机器人辅助部分切除术 (RAPN) 中表现有前途,通过减少缺血时间和帮助手术决策. 需要进一步的研究来确认质的长期功能益处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术 手术技术
- 医疗成像医学成像
背景情况:
- 机器人辅助部分切除术 (RAPN) 是针对质的标准手术.
- 尽量减少缺血时间对于保持功能至关重要.
- 在复杂的RAPN案件中,内部决策可能具有挑战性.
研究的目的:
- 评估混合现实 (MIXREAL) 的有效性,将虚拟 (VR) 和增强现实 (AR) 结合在一起,在RAPN.
- 评估MIXREAL对关键手术参数和患者结局的影响.
- 确定将MIXREAL集成到RAPN程序中的可行性和安全性.
主要方法:
- 一项随机临床试验 (RCT) 涉及45名患有质的患者.
- 患者被分配到使用 (Realitatem组 - RG) 或没有 (控制组 - CG) MIXREAL的RAPN中.
- 结果包括缺血时间,选择性紧决定,残留帕伦基马,并发症率和功能.
主要成果:
- 在MIXREAL组 (RG) 显示,缺血时间 (p = 0.045) 的统计显著减少,平均为3.8分钟.
- 在选择性动脉紧的决定中,RG显著改善 (p = 0.013),可能减少对细胞缺血症.
- 在RG中观察到朝着方便核化技术的趋势,但没有检测到并发症率或短期/长期功能之间的差异. 这项研究的小样本规模是一个局限性.
结论:
- 这项RCT证实了在RAPN中使用MIXREAL的可行性和安全性.
- 在RAPN期间,MIXREAL显示出增强手术内决策的潜力.
- 需要进行更大规模的随访研究,以验证MIXREAL在RAPN中的潜在功能益处.
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