Jin Hao, Liu Junwei
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.
J Invest Surg. 2022 Feb;35(2):378-389. doi: 10.1080/08941939.2020.1838004. Epub 2020 Nov 4.
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.
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.
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.
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.
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。
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。
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。
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。