Kaye Alan D, Islam Rahib K, Islam Kazi N, Khachemoune Amor, Haas Christopher, Barrie Sonnah, Pasqualucci Alberto, Shekoohi Sahar, Varrassi Giustino
Anesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Medicine, Louisiana State University School of Medicine, New Orleans, USA.
Cureus. 2024 Oct 14;16(10):e71440. doi: 10.7759/cureus.71440. eCollection 2024 Oct.
Mohs micrographic surgery (MMS) is a precise and effective technique for treating skin cancers, necessitating high accuracy and real-time decision-making to ensure complete tumor removal while preserving healthy tissue. The introduction of the Apple Vision Pro (AVP), an advanced mixed-reality headset, presents a potential technological advancement in surgical practice. The present investigation explores the integration of AVP into Mohs surgery, focusing on its potential to enhance preoperative planning, intraoperative guidance, and postoperative analysis. The AVP's high-resolution displays, advanced eye-tracking technology, and real-time data overlay capabilities may assist in meticulous surgical planning and execution. In the preoperative phase, AVP enables the creation and manipulation of detailed 3D models, providing comprehensive visualizations of tumor margins and critical structures. During surgery, AVP's real-time data overlay aids in precise tumor excision and spatial orientation, reducing errors and improving outcomes. Postoperatively, the AVP facilitates detailed procedural reviews and serves as a robust educational tool for surgical trainees. Despite its promising applications, challenges such as real-time resolution limitations, potential eye strain from prolonged use, and high costs must be addressed for widespread clinical adoption. This review highlights the transformative potential of AVP in Mohs surgery and underscores the need for further research to optimize integration and maximize benefits in dermatological procedures.
莫氏显微外科手术（MMS）是一种治疗皮肤癌的精确且有效的技术，需要高精度和实时决策，以确保在保留健康组织的同时完全切除肿瘤。先进的混合现实头戴设备苹果Vision Pro（AVP）的推出，为手术实践带来了潜在的技术进步。本研究探讨了AVP在莫氏手术中的整合，重点关注其在增强术前规划、术中指导和术后分析方面的潜力。AVP的高分辨率显示屏、先进的眼动追踪技术和实时数据叠加功能，可能有助于精细的手术规划和执行。在术前阶段，AVP能够创建和操作详细的3D模型，提供肿瘤边缘和关键结构的全面可视化。手术过程中，AVP的实时数据叠加有助于精确切除肿瘤和空间定位，减少误差并改善手术效果。术后，AVP便于进行详细的手术过程回顾，并作为手术学员强大的教育工具。尽管其应用前景广阔，但要在临床上广泛应用，仍需解决诸如实时分辨率限制、长时间使用可能导致的眼疲劳以及高成本等挑战。本综述强调了AVP在莫氏手术中的变革潜力，并强调需要进一步研究以优化整合并在皮肤科手术中最大化其益处。
