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超声在自动化前列腺切除术中的应用。

The use of ultrasound in automated prostatectomy.

作者信息

Ng W S, Davies B L, Timoney A G, Hibberd R D

机构信息

Centre for Robotics, Imperial College of Science, Technology & Medicine, London, UK.

出版信息

Med Biol Eng Comput. 1993 Jul;31(4):349-54. doi: 10.1007/BF02446687.

DOI:10.1007/BF02446687
PMID:7694011
Abstract

A new way of applying transurethral ultrasound scanning in the common surgical procedure of the transurethral resection of the prostate is described. The scanning is incorporated as part of a robotic procedure for surgery, so that the overall time spent in an operation can be further shortened, and a safe and accurate operation can be achieved. The prostate dimensions obtained pre-operatively by the transrectal method and those obtained operatively are compared. A robotic system, which was developed specifically to remove prostatic adenoma automatically, is discussed. The system, called a motorized frame, is briefly described, together with its predecessor, a manual frame, in relation to ultrasound measurements. Sizing of the prostate pre-operatively using transrectal ultrasound methods is discussed, using both the manual and the motorized frame. The shortcomings of transrectal ultrasound for use in a robotic procedure are highlighted.

摘要

描述了一种将经尿道超声扫描应用于前列腺经尿道切除术这一常见外科手术的新方法。该扫描作为机器人手术程序的一部分,从而可进一步缩短手术总时长,并实现安全、精确的手术。比较了术前经直肠方法获得的前列腺尺寸与术中获得的尺寸。讨论了专门为自动切除前列腺腺瘤而开发的机器人系统。简要描述了该系统,即电动框架,以及其前身手动框架在超声测量方面的情况。讨论了使用手动框架和电动框架通过经直肠超声方法在术前对前列腺进行测量的情况。突出了经直肠超声在机器人手术中使用的缺点。

相似文献

1
The use of ultrasound in automated prostatectomy.超声在自动化前列腺切除术中的应用。
Med Biol Eng Comput. 1993 Jul;31(4):349-54. doi: 10.1007/BF02446687.
2
The importance of prostatic measuring by transrectal ultrasound in surgical management of patients with clinically benign prostatic hyperplasia.经直肠超声测量前列腺在临床诊断为良性前列腺增生患者手术治疗中的重要性。
Medicina (Kaunas). 2003;39(9):860-6.
3
The value of transrectal ultrasonography in preoperative assessment for transurethral prostatectomy.经直肠超声检查在经尿道前列腺切除术术前评估中的价值。
J Urol. 1983 Jan;129(1):48-50. doi: 10.1016/s0022-5347(17)51914-x.
4
Volume determinations of the whole prostate and of adenomas by transrectal ultrasound in patients with clinically benign prostatic hyperplasia: correlation of resected weight, blood loss and duration of operation.经直肠超声测定临床诊断为良性前列腺增生患者的整个前列腺及腺瘤的体积:与切除重量、失血量及手术持续时间的相关性
Br J Urol. 1994 Jun;73(6):659-63. doi: 10.1111/j.1464-410x.1994.tb07552.x.
5
Volume determinations by transrectal ultrasonography in patients with benign prostatic hyperplasia: correlation with removed prostate weight.经直肠超声检查测定良性前列腺增生患者的体积:与切除前列腺重量的相关性
Int Urol Nephrol. 1996;28(4):517-23. doi: 10.1007/BF02550959.
6
[Prostatic weight estimation by the regression equation using transrectal ultrasonotomography].
Nihon Hinyokika Gakkai Zasshi. 1993 Feb;84(2):291-6. doi: 10.5980/jpnjurol1989.84.291.
7
Transition zone volume measurement--is it useful before surgery for benign prostatic hyperplasia?移行区体积测量——对良性前列腺增生症手术前有用吗?
Medicina (Kaunas). 2007;43(10):792-7.
8
How complete is a transurethral resection of the prostate?经尿道前列腺切除术的彻底程度如何?
Br J Urol. 1996 Mar;77(3):398-400. doi: 10.1046/j.1464-410x.1996.90813.x.
9
Automated prostate recognition: a key process for clinically effective robotic prostatectomy.
Med Biol Eng Comput. 1999 Mar;37(2):236-43. doi: 10.1007/BF02513292.
10
Recovery of urinary continence following radical prostatectomy: the impact of prostate volume--analysis of data from the CaPSURE Database.根治性前列腺切除术后尿失禁的恢复:前列腺体积的影响——来自CaPSURE数据库的数据分析
J Urol. 2007 Apr;177(4):1423-5; discussion 1425-6. doi: 10.1016/j.juro.2006.11.089.

引用本文的文献

1
Telemedicine and surgical robotics: urologic applications.远程医疗与手术机器人:泌尿外科应用
Rev Urol. 1999 Spring;1(2):104-20.
2
Robot-assisted biopsy using ultrasound guidance: initial results from in vitro tests.超声引导下的机器人辅助活检:体外测试的初步结果。
Eur Radiol. 2005 Apr;15(4):765-71. doi: 10.1007/s00330-004-2487-x. Epub 2004 Sep 24.
3
Computerised prostate boundary estimation of ultrasound images using radial bas-relief method.使用径向浅浮雕法对超声图像进行计算机化前列腺边界估计。

本文引用的文献

1
The development of benign prostatic hyperplasia among volunteers in the Normative Aging Study.
Am J Epidemiol. 1985 Jan;121(1):78-90.
2
Transurethral prostatectomy: practice aspects of the dominant operation in American urology.经尿道前列腺切除术:美国泌尿外科主要手术的实践要点
J Urol. 1989 Feb;141(2):248-53. doi: 10.1016/s0022-5347(17)40732-4.
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A surgeon robot prostatectomy--a laboratory evaluation.
J Med Eng Technol. 1989 Nov-Dec;13(6):273-7. doi: 10.3109/03091908909016201.
4
Med Biol Eng Comput. 1997 Sep;35(5):445-54. doi: 10.1007/BF02525522.
Symptom status and quality of life following prostatectomy.前列腺切除术后的症状状况及生活质量
JAMA. 1988 May 27;259(20):3018-22.
5
Ultrasonographic anatomy of normal prostate gland: reconstruction by computer graphics.正常前列腺的超声解剖:计算机图形重建
Urology. 1990 Jan;35(1):12-7. doi: 10.1016/0090-4295(90)80004-7.
6
The development of a surgeon robot for prostatectomies.用于前列腺切除术的外科手术机器人的研发。
Proc Inst Mech Eng H. 1991;205(1):35-8. doi: 10.1243/PIME_PROC_1991_205_259_02.