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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。

A systematic review on the application of the hybrid operating room in surgery: experiences and challenges.

机构信息

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

Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), No. 79 of Kangning Road, Xiangzhou District, Zhuhai City, 519000, Guangdong Province, China.

出版信息

Updates Surg. 2022 Apr;74(2):403-415. doi: 10.1007/s13304-021-00989-6. Epub 2021 Mar 11.

DOI:10.1007/s13304-021-00989-6
PMID:33709242
Abstract

The hybrid operating room has been widely applied in different surgery sub-specialties. We aim to identify the advantages of hybrid operating rooms by focusing on intraoperative imaging and explore what to do for further improving its application. We searched related literature in websites including Pubmed, MEDLINE, Web of science, using the keywords ("hybrid operating room" or "integrated operating room" or "multifunctional operating room") and ("surgery" or "technique" or "intervention" or "radiology"). All the searched papers were screened and underwent quality evaluation. A total of 30 literature was eventually identified after full-text screening. These articles covered 10 countries and presented data for 15,558 individuals. The median sample size was 536 (range 8-12,804). Application of the hybrid operating room in general surgery, neurosurgery, thoracic surgery, urology, gynaecologic and obstetrics surgery, cardiovascular surgery, was summarized. Four different operative indicators were applied (operative duration, mortality rate, operation success rate and complication rate). A hybrid OR could significantly increase the operation success rate and reduce operative duration, mortality rates, and complication rates. Further efforts could be made to reduce radiation exposure in the hybrid operating room and increase its cost-effectiveness ratio.

摘要

杂交手术室已广泛应用于不同的外科亚专科。我们旨在通过关注术中成像来确定杂交手术室的优势,并探讨进一步改进其应用的方法。我们在包括 Pubmed、MEDLINE、Web of science 在内的网站上使用关键词("杂交手术室"或"综合手术室"或"多功能手术室")和("手术"或"技术"或"干预"或"放射学")搜索相关文献。对所有搜索到的论文进行筛选,并进行质量评估。经过全文筛选,最终确定了 30 篇文献。这些文章涵盖了 10 个国家,为 15558 人提供了数据。中位数样本量为 536(范围 8-12804)。总结了杂交手术室在普通外科、神经外科、胸外科、泌尿外科、妇科和产科、心血管外科的应用。应用了四个不同的手术指标(手术时间、死亡率、手术成功率和并发症率)。杂交手术室可以显著提高手术成功率,缩短手术时间,降低死亡率和并发症率。可以进一步努力降低杂交手术室的辐射暴露,并提高其成本效益比。

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