Department of Urologic Surgery and Biomedical Engineering, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Curr Opin Urol. 2012 Jan;22(1):47-54. doi: 10.1097/MOU.0b013e32834d4ce5.
New methods of imaging and image-guidance technology have the potential to provide surgeons with spatially accurate three-dimensional information about the location and anatomical relationships of critical subsurface structures and instrument position updated and displayed during the performance of surgery. Robotic platforms and technology in various forms continues to revolutionize surgery and will soon incorporate image guidance.
Image-guided surgery (IGS) for abdominal and urologic interventions presents complex engineering and surgical challenges along with potential benefits to surgeons and patients. Key concepts such as registration, localization, accuracy, and targeting error are necessary for surgeons to understand and utilize the potential of IGS. Standard robotic surgeries, such as partial nephrectomy and radical prostatectomy may soon incorporate IGS.
Research continues to explore the potential for combining image guidance and robotics to augment and improve a variety of surgical interventions.
新的成像方法和图像引导技术有可能为外科医生提供关于关键皮下结构的位置和解剖关系的空间准确的三维信息,以及在手术过程中更新和显示的器械位置。各种形式的机器人平台和技术不断推动手术的发展,并将很快纳入图像引导。
腹部和泌尿科介入的图像引导手术 (IGS) 带来了复杂的工程和手术挑战,同时也为外科医生和患者带来了潜在的益处。注册、定位、准确性和靶向误差等关键概念是外科医生理解和利用 IGS 潜力所必需的。标准的机器人手术,如部分肾切除术和根治性前列腺切除术,可能很快就会纳入 IGS。
研究继续探索将图像引导和机器人技术相结合以增强和改善各种手术干预的潜力。