Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, Italy.
Department of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Cir Esp (Engl Ed). 2024 Jul;102 Suppl 1:S36-S44. doi: 10.1016/j.cireng.2024.01.006. Epub 2024 Feb 1.
New advanced technologies have recently been developed and preliminarily applied to surgery, including virtual reality (VR), augmented reality (AR) and mixed reality (MR). We retrospectively review all colorectal cases in which we used holographic 3D reconstruction from February 2020 to December 2022. This innovative approach was used to identify vascular anomalies, pinpoint tumor locations, evaluate infiltration into neighboring organs and devise surgical plans for both training and educating trainee assistants. We have also provided a state-of-the-art analysis, briefly highlighting what has been stated by the scientific literature to date. VR facilitates training and anatomical assessments, while AR enhances training and laparoscopic performance evaluations. MR, powered by HoloLens, enriches anatomic recognition, navigation, and visualization. Successful implementation was observed in 10 colorectal cancer cases, showcasing the effectiveness of MR in improving preoperative planning and its intraoperative application. This technology holds significant promise for advancing colorectal surgery by elevating safety and reliability standards.
近年来，新的先进技术已被开发并初步应用于外科手术中，包括虚拟现实（VR）、增强现实（AR）和混合现实（MR）。我们回顾性分析了 2020 年 2 月至 2022 年 12 月期间所有使用全息 3D 重建的结直肠病例。这种创新方法用于识别血管异常、确定肿瘤位置、评估浸润邻近器官以及制定培训和教育助理的手术计划。我们还提供了最先进的分析，简要强调了迄今为止科学文献中所陈述的内容。VR 有助于培训和解剖评估，而 AR 则增强了培训和腹腔镜性能评估。由 HoloLens 提供支持的 MR 丰富了解剖识别、导航和可视化。在 10 例结直肠癌病例中观察到了成功的实施，展示了 MR 在改善术前规划及其术中应用方面的有效性。这项技术通过提高安全性和可靠性标准，有望推动结直肠手术的发展。
