Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan; Department of Neurosurgery, St. Marianna University School of Medicine, Kawasaki, Japan.
World Neurosurg. 2021 Mar;147:e533-e537. doi: 10.1016/j.wneu.2020.12.114. Epub 2020 Dec 30.
A next-generation networked operating room, Smart Cyber Operating Theater (SCOT), has been developed in cooperation with medical engineers that integrates standalone medical devices, including intraoperative magnetic resonance imaging (MRI) using the OPeLiNK communication interface. Here, we report the application of this newly developed advanced type of operating theater for the endoscopic endonasal approach (EEA), along with an evaluation of our initial experiences.
The study population consisted of 18 patients with parasellar tumor. All patients underwent surgery via the EEA in SCOT. During all procedures, various types of intraoperative information, including electrophysiologic monitoring, anatomic orientation with navigation system, intraoperative MRI, and endoscopic images of the operative field, were collected and stored by OPeLiNK. Furthermore, the intraoperative information was shared with the surgical strategy desk, where a senior neurosurgeon can direct and manage the surgical procedure in real-time.
We successfully completed the surgical procedures in SCOT in all cases. Using OPeLiNK, operators in SCOT were able to share various data, such as images obtained intraoperatively and surgical instrument position from navigation systems, as well as images of the surgical field, with senior neurosurgeons at the surgical strategy desk in all cases. Surgically relevant information from these sources was transmitted through an application and displayed to all surgical staff. The necessary nuances were reflected in the surgical procedures.
SCOT, which is considered an innovative operation system in neurosurgery, enables both quality and safety in the EEA. Furthermore, the use of SCOT may also contribute to the education of young neurosurgeons.
下一代联网手术室——智能网络手术室（SCOT）与医学工程师合作开发，集成了独立的医疗设备，包括使用 OPeLiNK 通信接口的术中磁共振成像（MRI）。在此，我们报告了这种新开发的高级手术室在经鼻内镜入路（EEA）中的应用，并对我们的初步经验进行了评估。
研究人群包括 18 例鞍旁肿瘤患者。所有患者均在 SCOT 中通过 EEA 进行手术。在所有手术过程中，通过 OPeLiNK 收集和存储了各种类型的术中信息，包括电生理监测、导航系统下的解剖定位、术中 MRI 和手术野的内镜图像。此外，术中信息与手术策略台共享，资深神经外科医生可以在实时指导和管理手术过程。
我们在所有病例中均成功完成了 SCOT 中的手术。通过 OPeLiNK，SCOT 中的操作人员能够与手术策略台的资深神经外科医生共享各种数据，如术中获得的图像和导航系统中的手术器械位置，以及手术野的图像。来自这些来源的与手术相关的信息通过应用程序传输并显示给所有手术人员。手术过程中反映了必要的细微差别。
SCOT 被认为是神经外科的一项创新手术系统，能够实现 EEA 的质量和安全。此外，SCOT 的使用也可能有助于年轻神经外科医生的教育。
