术中使用增强现实和混合现实技术来改善手术效果：系统评价。
The intraoperative use of augmented and mixed reality technology to improve surgical outcomes: A systematic review.
机构信息
Charles Wolfson Centre for Reconstructive Surgery, Royal Free Hospital, London, UK.
Department of Plastic Surgery, Royal Free Hospital, London, UK.
出版信息
Int J Med Robot. 2022 Dec;18(6):e2450. doi: 10.1002/rcs.2450. Epub 2022 Sep 13.
BACKGROUND
This systematic review aims to critically appraise the intraoperative use of augmented and mixed reality technology to improve surgical outcomes.
METHOD
A literature search of PubMed, Scopus, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and WHO ICTRP was performed in accordance with Cochrane Handbook for Systematic Reviews of Interventions.
RESULTS
This review included 94 studies on 2473 patients, comprising 78 studies on augmented reality and 16 on mixed reality. This technology has seen broad intraoperative application. Augmented and mixed reality can reduce operative duration, blood loss, and the duration of inpatient care. Current evidence shows that they achieve this most in percutaneous surgery.
CONCLUSIONS
Augmented and mixed reality technology improve surgical outcomes by increasing navigational speed and reducing navigational error intraoperatively. However, they have technical limitations which are the subject of ongoing research. Further studies are necessary to define how this technology is best applied intraoperatively.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42020205892.
背景
本系统评价旨在批判性地评估增强现实和混合现实技术在改善手术结果方面的术中应用。
方法
根据 Cochrane 干预系统评价手册，对 PubMed、Scopus、Cochrane 中央对照试验注册中心、ClinicalTrials.gov 和世界卫生组织 ICTRP 进行了文献检索。
结果
本综述纳入了 2473 例患者的 94 项研究，包括 78 项增强现实研究和 16 项混合现实研究。该技术在术中得到了广泛应用。增强现实和混合现实可以减少手术时间、失血量和住院时间。目前的证据表明，它们在经皮手术中最能实现这一目标。
结论
增强现实和混合现实技术通过提高术中导航速度和减少导航误差来改善手术结果。然而，它们具有技术局限性，这是正在进行的研究的主题。需要进一步的研究来确定如何在术中最好地应用这项技术。
系统评价注册
PROSPERO CRD42020205892。
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