微创和机器人手术中2D和3D可视化的比较:一个系统的审查
Dimitrios Chatziisaak1,2,3, Ismail Labgaa4, Stephan Bischofberger5
1Department of Surgery, Centre Hôpitalier Universitaire Vaudois, Lausanne, Switzerland. dimitrios.chatziisaak@nhs.net.
Surgical endoscopy
|February 4, 2026
概括
微创手术 (MIS) 和机器人手术中的三维 (3D) 可视化始终减少了手术时间,并提高了机器人任务性能. 然而,它对失血,并发症和住院时间的影响仍然不一致.
科学领域:
- 手术技术 手术技术
- 医疗成像医学成像
- 最少侵入性的手术
背景情况:
- 最少侵入性手术 (MIS) 提供了改善的恢复,但往往缺乏3D可视化.
- 机器人平台使3D系统成为可能,但它的优点与MIS和机器人手术中的2D可视化相比仍在争论中.
研究的目的:
- 系统地审查和评估3D与2D可视化在微创手术和机器人手术中的影响.
- 为了评估手术时间,血液损失,停留时间和并发症率.
主要方法:
- 2015年1月至2024年5月期间发表的研究的系统审查.
- 包括的研究比较了MIS和机器人手术中的2D和3D可视化.
- 评估主要结果,包括手术时间,血液损失,停留时间和并发症率.
主要成果:
- 在MIS手术中,3D可视化显著减少了血液流失.
- 在15项MIS研究中,手术时间显著减少,特别是在修复,腹,胃和结直肠手术方面.
- 机器人手术研究表明,3D可视化增强了任务性能,新手外科医生完成任务的速度高达88%.
结论:
- 3D可视化始终在选择的MIS程序中减少了操作时间,并提高了机器人任务性能.
- 3D可视化对失血,并发症和停留时间的影响不一致.
- 需要进一步标准化,与3D和2D-4K可视化进行比较的特定程序试验,特别是在机器人手术中报告临床结果.
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