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导航腹腔镜超声在腹部软组织手术中的应用:技术概述与展望。

Navigated laparoscopic ultrasound in abdominal soft tissue surgery: technological overview and perspectives.

机构信息

Department of Medical Technology, SINTEF, 7465, Trondheim, Norway.

出版信息

Int J Comput Assist Radiol Surg. 2012 Jul;7(4):585-99. doi: 10.1007/s11548-011-0656-3. Epub 2011 Sep 3.

DOI:10.1007/s11548-011-0656-3
PMID:21892604
Abstract

PURPOSE

Two-dimensinal laparoscopic ultrasound (LUS) is commonly used for many laparoscopic procedures, but 3D LUS and navigation technology are not conventional tools in the clinic. Navigated LUS can help the user understand and interpret the ultrasound images in relation to the laparoscopic view and preoperative images. When combined with information from MRI or CT, navigated LUS has the potential to provide information about anatomic shifts during the procedure. In this paper, we present an overview of the ongoing technological research and development related to LUS combined with navigation technology, The purpose of this overview is threefold: (1) an introduction for those new to the field of navigated LUS; (2) an overview for those working in the field and; and (3) as a reference for those searching for literature on technological developments related to navigation in ultrasound-guided laparoscopic surgery.

METHODS

Databases were searched to identify relevant publications from the last 10 years.

RESULTS

We were able to identify 18 key papers in the area of navigated LUS for the abdomen, originating from about 10-11 groups. We present the literature overview, including descriptions of our own experience in the field, and a discussion of the important clinical and technological aspects related to navigated LUS.

CONCLUSIONS

LUS integrated with miniaturized tracking technology is likely to play an important role in guiding future laparoscopic surgery.

摘要

目的

二维腹腔镜超声(LUS)常用于许多腹腔镜手术,但 3D LUS 和导航技术并非临床常规工具。导航 LUS 可帮助用户理解和解释与腹腔镜视图和术前图像相关的超声图像。当与 MRI 或 CT 信息结合使用时,导航 LUS 有可能提供手术过程中解剖移位的信息。本文介绍了与导航技术相结合的 LUS 的正在进行的技术研究和开发的概述。该概述的目的有三:(1)为那些新接触导航 LUS 领域的人提供介绍;(2)为该领域的工作者提供概述;(3)为那些搜索与超声引导腹腔镜手术中导航相关的技术发展文献的人提供参考。

方法

搜索数据库以识别过去 10 年中与导航 LUS 相关的相关出版物。

结果

我们能够在腹部导航 LUS 领域确定了 18 篇关键论文,这些论文来自大约 10-11 个研究小组。我们介绍了文献综述,包括我们在该领域的经验描述,并讨论了与导航 LUS 相关的重要临床和技术方面。

结论

与微型跟踪技术集成的 LUS 很可能在指导未来的腹腔镜手术中发挥重要作用。

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