論文

国際誌
2022年4月

Intraoperative Image-Guided Surgery for Gliomas in the Smart Cyber Operating Theater (SCOT): A Preliminary Clinical Application.

World neurosurgery
  • Toshihiro Ogiwara
  • Yu Fujii
  • Yoshiki Hanaoka
  • Satoshi Kitamura
  • Haruki Kuwabara
  • Kohei Funato
  • Yuki Inomata
  • Daisuke Yamazaki
  • Ken Yamazaki
  • Hiromu Murase
  • Akifumi Yokota
  • Ridzky Firmansyah Hardian
  • Tetsuya Goto
  • Kazuhiro Hongo
  • Tetsuyoshi Horiuchi
  • 全て表示

160
開始ページ
e314-e321
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.wneu.2022.01.012

BACKGROUND: Various devices exist for glioma image-guided surgery to improve tumor resection. These devices work as stand-alone units, making the flow of operative information complicated and disjointed. A novel networked operating room, the Smart Cyber Operating Theater (SCOT), has been developed, integrating stand-alone medical devices using the OPeLiNK communication interface. We report and evaluate the impact of SCOT for glioma surgery and our initial experiences. METHODS: Patients with gliomas who underwent tumor resection in SCOT between July 2018 and June 2021 were retrospectively reviewed. Various types of intraoperative information were integrated, managed, and shared with the surgical strategy desk using OPeLiNK. Patients' demographics, tumor characteristics, treatment details, and outcomes were obtained. The impact of the SCOT system was evaluated. RESULTS: Twenty-seven patients, with a mean age of 48.6 years (range, 13-88 years), met the inclusion criteria. We successfully completed all the surgical procedures using SCOT. The mean operation time was 420.6 minutes (range, 225-667 minutes).Gross total resection was accomplished in 13 patients (48.1%), subtotal resection in 4 (14.8%), and partial resection in 10 (37.0%). The main surgeon in the operating room and other neurosurgeons at the strategy desk shared and discussed the information in real time during the procedures. CONCLUSIONS: The use of SCOT was shown to be safe and feasible in glioma surgery. This study suggests that SCOT may improve surgical outcomes and educational impact by sharing information in real time with the strategy desk.

リンク情報
DOI
https://doi.org/10.1016/j.wneu.2022.01.012
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35026453
ID情報
  • DOI : 10.1016/j.wneu.2022.01.012
  • PubMed ID : 35026453

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