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内窥镜手术系统工作场所

Systems workplace for endoscopic surgery.

作者信息

Irion K M, Novak P

机构信息

Karl Storz GmbH and Co. KG, Tuttlingen, Germany.

出版信息

Minim Invasive Ther Allied Technol. 2000;9(3-4):193-7. doi: 10.1080/13645700009169647.

DOI:10.1080/13645700009169647
PMID:20156014
Abstract

With the advent of minimally invasive surgery (MIS) a decade ago, the requirements for operating rooms (OR) and their equipment have been increased. Compared with conventional open surgery, the new endoscopic techniques require additional tools. Television systems, for video-assisted image acquisition and visualisation, including cameras, monitors and light systems, as well as insufflators, pumps, high-frequency units, lasers and motorised therapy units, are nowadays usually made available on carts during endoscopic surgery. In conjunction with a set of endoscopic instruments, these high-tech units allow new operating techniques to be performed. The benefit for patients has become clear in recent years; however, the technical complexity of OR has also increased considerably. To minimise this problem for the OR personnel, the MIS concept 'OR1' (Operating Room 1) was developed and implemented. OR1 is a fully functional and integrated multi-speciality surgical suite for MIS. The centrepieces of the OR1 are the Storz Communication Bus (SCB) and the advanced image and data archiving system (Aida) from Karl Storz, Tuttlingen, Germany. Both components allow monitoring, access and networking of the MIS equipment and other OR facilities, as well as the acquisition, storage and display of image, patient and equipment data during the endoscopic procedure. A central user interface allows efficient, simplified operation and online clinical images. Due to the system integration, the handling of complex equipment is considerably simplified, logistical procedures in the OR are improved, procedure times are shorter and, particularly noteworthy, operative risk can be reduced through simplified device operation.

摘要

十年前随着微创手术(MIS)的出现,对手术室(OR)及其设备的要求有所提高。与传统的开放手术相比,新的内镜技术需要额外的工具。电视系统,用于视频辅助图像采集和可视化,包括摄像头、监视器和照明系统,以及气腹机、泵、高频设备、激光和电动治疗设备,如今在内镜手术期间通常放在推车上。与一套内镜器械相结合,这些高科技设备使得新的手术技术得以实施。近年来对患者的益处已很明显;然而,手术室的技术复杂性也大幅增加。为了给手术室工作人员尽量减少这个问题,开发并实施了MIS概念“OR1”(手术室1)。OR1是一个用于MIS的功能齐全且集成的多专科手术套房。OR1的核心是德国图特林根的卡尔·史托斯公司的史托斯通信总线(SCB)和先进图像与数据存档系统(Aida)。这两个组件允许对MIS设备和其他手术室设施进行监测、访问和联网,以及在内镜手术过程中采集、存储和显示图像、患者和设备数据。一个中央用户界面实现了高效、简化的操作以及在线临床图像。由于系统集成,复杂设备的操作大大简化,手术室的后勤程序得到改善,手术时间缩短,特别值得注意的是,通过简化设备操作可降低手术风险。

相似文献

1
Systems workplace for endoscopic surgery.内窥镜手术系统工作场所
Minim Invasive Ther Allied Technol. 2000;9(3-4):193-7. doi: 10.1080/13645700009169647.
2
OREST II--ergonomic workplace and systems platform for endoscopic technologies.OREST II——用于内镜技术的人体工程学工作场所及系统平台。
Endosc Surg Allied Technol. 1995 Aug;3(4):193-8.
3
System solutions for the integration of devices in the OR.手术室设备集成的系统解决方案。
Minim Invasive Ther Allied Technol. 2000;9(3-4):199-205. doi: 10.1080/13645700009169648.
4
Systems technology in the operating theatre: a prerequisite for the use of advanced devices in surgery.手术室中的系统技术:手术中使用先进设备的先决条件。
Minim Invasive Ther Allied Technol. 2000;9(3-4):179-84. doi: 10.1080/13645700009169645.
5
[Computer-aided anesthesia monitoring. Experiences with the use of three systems in heart surgery].[计算机辅助麻醉监测。心脏手术中使用三种系统的经验]
Anaesthesist. 1993 Aug;42(8):528-35.
6
Minimally invasive total knee arthroplasty: the importance of instrumentation.微创全膝关节置换术:器械的重要性。
Orthop Clin North Am. 2004 Apr;35(2):227-34. doi: 10.1016/S0030-5898(03)00118-4.
7
Instrumentation and setup for endoscopic plastic surgery.内镜整形手术的器械与设置
Clin Plast Surg. 1995 Oct;22(4):591-603.
8
Surgical video systems.手术视频系统。
Health Devices. 1995 Nov;24(11):428-74.
9
Robotics and systems technology for advanced endoscopic procedures: experiences in general surgery.用于高级内镜手术的机器人技术与系统:普通外科的经验
Eur J Cardiothorac Surg. 1999 Nov;16 Suppl 2:S97-105.
10
Process-optimized operating room: implementation of an integrated OR system into clinical routine.流程优化手术室:将集成手术室系统应用于临床常规工作
Surg Technol Int. 2002 Sep;10:67-70.

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