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视眼前部段形态的前性评估 机器人辅助腹腔镜前列腺切除术期间的Trendelenburg位置的变化
Mototaka Sato1, Eisuke Shimizu2,3, Atsuki Matsukawa1
1Department of Urology, Toyonaka Municipal Hospital, Toyonaka 5608565, Osaka, Japan.
Journal of clinical medicine
|January 28, 2026
概括
机器人辅助腹腔镜前列腺切除术在的Trendelenburg位置显著减少前腔深度,可能增加眼内压力. 这种眼睛形态的变化需要进一步调查,以确保患者的安全.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 麻醉学 麻醉学
背景情况:
- 在手术期间的Trendelenburg定位可能会对眼睛结构产生负面影响.
- 机器人辅助腹腔镜前列腺切除术 (RALP) 通常使用这种位置.
- 需要详细评估RALPTrendelenburg的的位置对眼睛的影响.
研究的目的:
- 在RALP过程中评估眼前部分的形态变化.
- 为了比较卧卧和的Trendelenburg位置之间的前段参数.
- 研究RALP定位对眼睛结构的影响.
主要方法:
- 对30名接受RALP治疗的患者进行前性观察性研究.
- 使用智能眼镜摄像头进行前部部位成像 (手术前,手术内和手术后).
- 评估虹膜角,前腔深度,角膜厚度和瞳孔直径.
主要成果:
- 的Trendelenburg位置显著降低了前腔深度 (p < 0.001).
- 超过60%的眼睛表现出较浅的腔室;1%的眼睛经历了极端缩小.
- 在麻醉下,瞳孔均地收缩;在返回仰卧状态时,变化逆转.
结论:
- 在RALP过程中,的Trendelenburg定位会导致前腔显著收窄.
- 这种形态变化可能会导致手术期间眼内压力增加.
- 这些发现突出了与RALP定位相关的潜在眼睛风险.
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