Sabnis Ravindra B, Mishra Shashikant, Sharma Rajan, Desai Mahesh R
Department of Urology and Nephrology, Muljibhai Patel Urological Hospital , Nadiad, Gujarat, India .
J Endourol. 2009 Oct;23(10):1579-85. doi: 10.1089/end.2009.1522.
A dedicated fluoroscopic-compatible operating room (OR) for endourologic procedures, such as percutaneous nephrolithotomy and ureteroscopy, is structurally and functionally different from the general OR. Publications with practical details are scarce, imposing a challenge in construction of such an OR. We outline a practical approach for the design and construction of a modern flourocompatible endourology OR.
There were no publications related to a dedicated endourology OR in Medline. A search was then performed for English language articles on OR designing, fluoroscopy in the OR, data archiving, and data relay. We also surveyed the existing endourology OR in different hospitals and analyzed the available technology for audiovisual capture and relay in surgery. This article was then prepared, covering the relevant areas on designing a dedicated flourocompatible endourology OR.
Close cooperation and interaction between an architect and expert construction manager for designing, development, and construction of an OR are necessary. Strategic equipment placement with booms is essential to increase the efficiency and safety within the surgical space. Distinct features of an endourology OR are thickness of the walls for radiation protection, wide OR gate, central floor water exit drain, flourocompatible rotatable OR table, C-arm unit, minimum three hanging thin-film transistor (TFT) screen monitors, and endoscopic equipment supported on a boom. The anesthetic boom should be retractable and movable from one end of the OR table to other. The OR should have an electronic workstation strategically located at one corner for data capture, archiving, and telementoring. Data relay of the OR procedure is facilitated by a control room located in the vicinity of the OR.
Designing the layout of the OR is extremely important, necessitating thoughtful planning to provide hassle-free movement, comfort to the surgeon, and efficient data archiving and transmission during a surgical workshop.
用于诸如经皮肾镜取石术和输尿管镜检查等腔内泌尿外科手术的专用荧光兼容手术室（OR）在结构和功能上与普通手术室不同。缺乏包含实际细节的出版物，给建造这样的手术室带来了挑战。我们概述了一种设计和建造现代荧光兼容腔内泌尿外科手术室的实用方法。
在医学文献数据库（Medline）中没有与专用腔内泌尿外科手术室相关的出版物。然后搜索了关于手术室设计、手术室荧光检查、数据存档和数据中继的英文文章。我们还调研了不同医院现有的腔内泌尿外科手术室，并分析了手术中可用的视听采集和中继技术。随后撰写了本文，涵盖了设计专用荧光兼容腔内泌尿外科手术室的相关领域。
建筑师与专业施工经理在手术室的设计、开发和建造过程中密切合作与互动是必要的。使用吊杆进行战略设备布局对于提高手术空间内的效率和安全性至关重要。腔内泌尿外科手术室的显著特点包括用于辐射防护的墙壁厚度、宽敞的手术室门、中央地面排水口、荧光兼容的可旋转手术台、C形臂装置、至少三个悬挂式薄膜晶体管（TFT）屏幕显示器以及由吊杆支撑的内镜设备。麻醉吊杆应可伸缩且能从手术台一端移动到另一端。手术室应在一角设有战略位置的电子工作站，用于数据采集、存档和远程指导。手术室附近的控制室便于手术过程的数据中继。
设计手术室布局极其重要，需要精心规划，以在手术过程中提供顺畅的行动、给外科医生带来舒适感，并实现高效的数据存档和传输。
