文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

使用增强现实技术逐步优化机器人辅助根治性前列腺切除术。

Step-by-step optimisation of robotic-assisted radical prostatectomy using augmented reality.

机构信息

AdventHealth Global Robotics Institute, Urology, Celebration, United States of America.

Università degli Studi di Milano, Urology, Milan, Italy.

出版信息

Int Braz J Urol. 2022 May-Jun;48(3):600-601. doi: 10.1590/S1677-5538.IBJU.2022.9910.


DOI:10.1590/S1677-5538.IBJU.2022.9910
PMID:35168316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9060177/
Abstract

INTRODUCTION:: Surgical training will be complemented by digitalisation, as the COVID 19 pandemic continues (1). Proximie is an augmented reality (AR) platform that can display up to 4 native camera views, with live or semi live telementoring. It can optimise ergonomics of the surgeon at the console (2), and robotic instrument orientation. We describe the utilisation of Proximie as a step-by-step guide in a robotic assisted radical prostatectomy (RARP). SURGICAL TECHNIQUE:: Author V. P. performed a transperitoneal multiport da Vinci Xi RARP with the Proximie platform: a laptop computer, multiple HD webcams, microphones and speakers. Using an HDMI cable to the Intuitive Surgical tower, output display from the console and an additional laparoscopic tower is shown. Each webcam was mounted to the side armrests of the console, directed at the surgeon's hands. An independent ‘drop in’ laparoscope via an additional 5mm left upper quadrant port was utilised. Observers can visualise the AR platform's recordings on a laptop and/or smartphone. A PTZ (pan-tilt-zoom) camera can capture the operating room, bedside assistant, ports and patient position. Our video demonstrates three of four camera views for posture, forearm, wrist, hand, and finger orientation, relative to the translated robotic steps. A pincer grasp of the endowrist manipulator during anastomosis allows optimal robotic wrist rotation. The second laparoscopic camera view demonstrated intracorporeal angles of robotic arm and bedside assistant's instrument position for critical steps such as nerve sparing and anastomosis (3). The console time was 100 minutes, no intraoperative complications, or delay in image transmission occurred with utilising the platform. CONSIDERATIONS:: An AR platform can create deeper learning for RARP in real time or recorded sessions. Two-way verbal and visual communication with ability to annotate on screen, allows long distance mentoring. The platform's utility can be accessed in anywhere, to project surgeons beyond their immediate environment. This allows for democratisation of access to high volume institutions and their evolution of techniques (4), to assist patients globally. Potential developments are artificial intelligence (AI) networks analysing repository of such recorded data, to identify intraoperative hand motion and robotic instrument tracking. AR is a pertinent building block to enhance robotic training, skill dissemination, precision medicine (5) and surgery overall.

摘要

简介:随着 COVID-19 大流行的持续,手术培训将辅以数字化(1)。Proximie 是一个增强现实(AR)平台,可显示多达 4 个原生摄像头视图,具有实时或半实时远程指导。它可以优化控制台外科医生的人体工程学(2),以及机器人器械的定位。我们描述了 Proximie 在机器人辅助根治性前列腺切除术(RARP)中的分步使用。

手术技术:作者 V.P. 使用 Proximie 平台进行了经腹腔多端口达芬奇 Xi RARP:一台笔记本电脑、多个高清网络摄像头、麦克风和扬声器。使用 HDMI 电缆连接到直观外科塔,控制台的输出显示和额外的腹腔镜塔显示。每个网络摄像头都安装在控制台的侧扶手架上,指向外科医生的手。通过额外的 5mm 左上象限端口使用了独立的“插入”腹腔镜。观察者可以在笔记本电脑和/或智能手机上查看 AR 平台的记录。PTZ(平移-倾斜-缩放)摄像头可以捕获手术室、床边助手、端口和患者位置。我们的视频演示了四个摄像头视图中的三个,用于姿势、前臂、手腕、手和手指的方向,相对于翻译后的机器人步骤。在吻合过程中,使用 Endowrist 操纵器进行捏合抓握可以实现最佳的机器人手腕旋转。第二个腹腔镜摄像头视图演示了机器人臂和床边助手的器械位置的体内角度,用于神经保留和吻合等关键步骤(3)。控制台时间为 100 分钟,使用平台时没有发生术中并发症或图像传输延迟。

考虑因素:AR 平台可以实时或记录会话中为 RARP 创建深度学习。具有屏幕注释能力的双向语音和视觉通信,允许远程指导。该平台的实用程序可以在任何地方访问,将外科医生的能力扩展到其直接环境之外。这使得大容量机构及其技术的发展(4)能够在全球范围内为患者提供服务。潜在的发展是人工智能(AI)网络分析此类记录数据的存储库,以识别术中手部运动和机器人器械跟踪。AR 是增强机器人培训、技能传播、精准医学(5)和整体手术的重要组成部分。

相似文献

[1]
Step-by-step optimisation of robotic-assisted radical prostatectomy using augmented reality.

Int Braz J Urol. 2022

[2]
Evaluation of a marker-less, intra-operative, augmented reality guidance system for robot-assisted laparoscopic radical prostatectomy.

Int J Comput Assist Radiol Surg. 2020-6-5

[3]
The Use of Augmented Reality to Guide the Intraoperative Frozen Section During Robot-assisted Radical Prostatectomy.

Eur Urol. 2021-10

[4]
Real-time Augmented Reality Three-dimensional Guided Robotic Radical Prostatectomy: Preliminary Experience and Evaluation of the Impact on Surgical Planning.

Eur Urol Focus. 2021-11

[5]
Three-dimensional Elastic Augmented-reality Robot-assisted Radical Prostatectomy Using Hyperaccuracy Three-dimensional Reconstruction Technology: A Step Further in the Identification of Capsular Involvement.

Eur Urol. 2019-10

[6]
A partial augmented reality system with live ultrasound and registered preoperative MRI for guiding robot-assisted radical prostatectomy.

Med Image Anal. 2020-2

[7]
Augmented-reality robot-assisted radical prostatectomy using hyper-accuracy three-dimensional reconstruction (HA3D™) technology: a radiological and pathological study.

BJU Int. 2018-10-19

[8]
Augmented reality during robot-assisted radical prostatectomy: expert robotic surgeons' on-the-spot insights after live surgery.

Minerva Urol Nefrol. 2018-4

[9]
The evolution of image guidance in robotic-assisted laparoscopic prostatectomy (RALP): a glimpse into the future.

J Robot Surg. 2022-8

[10]
Influence of magnetic resonance imaging in the decision to preserve or resect neurovascular bundles at robotic assisted laparoscopic radical prostatectomy.

J Urol. 2014-1-15

引用本文的文献

[1]
Current Applications and Limitations of Augmented Reality in Urological Surgery: A Practical Primer and 'State of the Field'.

Curr Urol Rep. 2025-7-11

[2]
Retiring trends The role of artificial intelligence in mitigating the urologist shortage in Canada.

Can Urol Assoc J. 2025-7

[3]
Exploring Augmented Reality Integration in Diagnostic Imaging: Myth or Reality?

Diagnostics (Basel). 2024-6-23

[4]
A Systematic Review of New Imaging Technologies for Robotic Prostatectomy: From Molecular Imaging to Augmented Reality.

J Clin Med. 2023-8-21

本文引用的文献

[1]
Artificial intelligence in urological oncology: An update and future applications.

Urol Oncol. 2021-7

[2]
Evidence-based evolution of our robot-assisted laparoscopic prostatectomy (RALP) technique through 13,000 cases.

J Robot Surg. 2021-8

[3]
A systematic review of the true benefit of robotic surgery: Ergonomics.

Int J Med Robot. 2020-8

[4]
Bolstering the surgical response to COVID-19: how virtual technology will save lives and safeguard surgical practice.

BJU Int. 2020-6

[5]
Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons.

J Endourol. 2017-9

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索