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杂交手术室在手术中的应用:一项系统评价

Application of the Hybrid Operating Room in Surgery: A Systematic Review.

作者信息

Jin Hao, Liu Junwei

机构信息

The Second Department of General Surgery, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, Guangdong, China.

Zhuhai Health Bureau, Zhuhai, Guangdong, China.

出版信息

J Invest Surg. 2022 Feb;35(2):378-389. doi: 10.1080/08941939.2020.1838004. Epub 2020 Nov 4.

DOI:10.1080/08941939.2020.1838004
PMID:33146589
Abstract

BACKGROUND AND OBJECTIVE

The hybrid operating room has been widely applied in surgery, including neurology, general surgery, gynecology, and obstetrics. By reviewing application of the hybrid operating room in different categories of surgery, we aim to summarize both advantages and disadvantages of the hybrid operating room and discuss what to do for further improving the application of it.

METHODS

We searched related literature in websites including Pubmed, MEDLINE, Web of science, using the keywords "hybrid operating room", "surgery", "technique", "intervention", and "radiology". All the searched papers were screened and underwent quality evaluation. The eventually selected papers were carefully read, with related information extracted and summarized.

RESULTS

After screening and assessment, a total of 29 literature was collected. Application of the hybrid operating room in general surgery, neurosurgery, thoracic surgery, urology, gynecologic and obstetrics surgery, and cardiovascular surgery was summarized. Both advantages and disadvantages of the hybrid operating room were discussed in order to improve application of the hybrid operating room in surgery.

CONCLUSIONS

Surgeries performed in the hybrid operating room take advantages over those conventional operating rooms mainly in terms of higher procedure accuracy, less operative time, and less risk of hemorrhage during the transportation between radiology departments and operating suites. Further efforts should be made to reduce radiation exposure from imaging systems equipped in the hybrid operating room and increase cost-effectiveness ratio of the hybrid operating room.

摘要

背景与目的

杂交手术室已广泛应用于外科手术,包括神经外科、普通外科、妇科和产科。通过回顾杂交手术室在不同类别手术中的应用,我们旨在总结杂交手术室的优缺点,并探讨如何进一步改进其应用。

方法

我们在包括Pubmed、MEDLINE、科学网在内的网站上搜索相关文献,使用关键词“杂交手术室”“手术”“技术”“干预”和“放射学”。对所有检索到的论文进行筛选并进行质量评估。对最终选定的论文进行仔细阅读,提取并总结相关信息。

结果

经过筛选和评估,共收集到29篇文献。总结了杂交手术室在普通外科、神经外科、胸外科、泌尿外科、妇产科手术和心血管外科中的应用。讨论了杂交手术室的优缺点,以改进其在手术中的应用。

结论

在杂交手术室进行的手术相对于传统手术室的优势主要体现在手术精度更高、手术时间更短以及在放射科和手术室之间转运过程中的出血风险更低。应进一步努力减少杂交手术室配备的成像系统的辐射暴露,并提高杂交手术室的成本效益比。

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1
Application of the Hybrid Operating Room in Surgery: A Systematic Review.杂交手术室在手术中的应用:一项系统评价
J Invest Surg. 2022 Feb;35(2):378-389. doi: 10.1080/08941939.2020.1838004. Epub 2020 Nov 4.
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A systematic review on the application of the hybrid operating room in surgery: experiences and challenges.关于杂交手术室在外科手术中应用的系统评价:经验与挑战。
Updates Surg. 2022 Apr;74(2):403-415. doi: 10.1007/s13304-021-00989-6. Epub 2021 Mar 11.
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The use of hybrid operating rooms in neurosurgery, advantages, disadvantages, and future perspectives: a systematic review.神经外科杂交手术室的使用:系统评价——优势、劣势与未来展望。
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Chirurg. 2017 Jul;88(7):587-594. doi: 10.1007/s00104-017-0431-2.
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The Current Status in Intraoperative Image-Guided Neurosurgery Associated with Progressive Operating Rooms: A Retrospective Analysis.术中影像引导神经外科与不断发展的手术室现状:回顾性分析。
World Neurosurg. 2022 Nov;167:e710-e716. doi: 10.1016/j.wneu.2022.08.062. Epub 2022 Aug 23.
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Non-conservative Management of Placenta Accreta Spectrum in the Hybrid Operating Room: A Retrospective Cohort Study.杂交手术室中胎盘植入谱系疾病的非保守治疗:一项回顾性队列研究
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Systematic review of general thoracic surgery articles to identify predictors of operating room case durations.对普通胸外科文章进行系统综述,以确定手术室病例持续时间的预测因素。
Anesth Analg. 2008 Apr;106(4):1232-41, table of contents. doi: 10.1213/ane.0b013e318164f0d5.
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Improved efficiency and safety for EVAR with utilization of a hybrid room.利用杂交手术室提高 EVAR 的效率和安全性。
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Treating cerebrovascular diseases in hybrid operating room equipped with a robotic angiographic fluoroscopy system: level of necessity and 5-year experiences.在配备机器人血管造影透视系统的杂交手术室中治疗脑血管疾病:必要性程度及5年经验
Acta Neurochir (Wien). 2019 Mar;161(3):611-619. doi: 10.1007/s00701-018-3769-4. Epub 2019 Jan 4.

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Curr Med Sci. 2025 Apr;45(2):349-362. doi: 10.1007/s11596-025-00015-5. Epub 2025 Mar 18.
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The difficulties and solutions in operationalising a hybrid operating room.混合手术室运作中的难点及解决方案。
J Int Med Res. 2024 Sep;52(9):3000605241270700. doi: 10.1177/03000605241270700.
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Value of interventional radiology and their contributions to modern medical systems.介入放射学的价值及其对现代医疗系统的贡献。
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Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems.使用移动与固定血管造影系统进行血管腔内主动脉修复时的辐射暴露及造影剂使用情况
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