Regazzoni P, Dell'oca A A Fernandez, Perren S M
University Basel, Switzerland.
Acta Chir Orthop Traumatol Cech. 2017;84(3):153-158.
Conventional documentation of surgical procedures using only pre- and postoperative X-ray images and possibly a few intra-operative pictures does not allow secondary analysis of the technical performance in detail. In particular, the quality of the handling of tissues and surgical tools cannot be judged «post hoc», i.e. after the end of the surgical procedure. The invasiveness of the surgical act cannot yet be quantified. Surrogate invasiveness indices have therefore been developed. Furthermore, conventional documentation does not allow evaluation of the proper use of the C-arm both technically and with regard to fluoroscopy time. Documentation that follows the ICUC® documentation concept includes all fluoroscopy shots and images covering all key portions of the entire surgical procedure by multiple still images or videos. In certain cases, such documentation can help to explain post-operative courses that might be difficult to understand based only on X-rays and written operation reports. Finally, the data included in ICUC® documentation are a valuable source for knowledge extraction. In addition, time saving is conceivable if operation reports can include images of the key stages of the procedure with a few additional comments dictated during the surgery. Key words: trauma surgery, ICUC® documentation concept.
仅使用术前和术后X线图像以及可能的一些术中图片对手术过程进行传统记录，无法对技术操作进行详细的二次分析。特别是，组织和手术工具的操作质量无法在“事后”，即在手术结束后进行判断。手术行为的侵袭性尚未得到量化。因此，已开发出替代侵袭性指标。此外，传统记录在技术上以及就透视时间而言，都无法评估C形臂的正确使用情况。遵循ICUC®记录概念的记录包括通过多张静态图像或视频覆盖整个手术过程所有关键部分的所有透视拍摄和图像。在某些情况下，这样的记录有助于解释仅基于X线和书面手术报告可能难以理解的术后病程。最后，ICUC®记录中包含的数据是知识提取的宝贵来源。此外，如果手术报告可以包括手术关键阶段的图像以及手术过程中口述的一些附加注释，那么可以节省时间。关键词：创伤外科，ICUC®记录概念
