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Der Hybridoperationssaal

Zentrum intraoperativer Bildgebung

The hybrid operating room

Home of high-end intraoperative imaging

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Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Der Hybridoperationssaal (-OP) erfüllt Anforderungen, die verschiedenen hoch spezialisierten Fachbereichen gerecht werden müssen. Neben kardiochirurgischen Eingriffen und interventionellen Gefäßoperationen können in ihm offene Eingriffe aus dem Bereich der Orthopädie und Unfallchirurgie, der Neurochirurgie und der Mund-, Kiefer- und Gesichtschirurgie durchgeführt werden. Dies gelingt durch die Verbindung modernster technischer Vorrichtungen, die perfekt aufeinander abgestimmt sind. Von der Planung eines Eingriffs über die Dokumentation bis hin zur Umsetzung des Planes auch mit computernavigierter Unterstützung greift alles ineinander und schont somit Zeit und personelle Ressourcen. Neue Technologien können einfacher integriert und auf ihren klinischen Nutzen hin untersucht werden. Modernste intraoperative Bildgebungsverfahren eröffnen neue Möglichkeiten der minimal-invasiven Chirurgie und der postoperativen Kontrolle mit unmittelbarer Revisionsmöglichkeit. Der Hybrid-OP stellt ein wirtschaftlich sinnvolles Konzept neuer Bildgebung im OP dar.

Abstract

A hybrid operating room must serve the medical needs of different highly specialized disciplines. It integrates interventional techniques for cardiovascular procedures and allows operations in the field of orthopaedic surgery, neurosurgery and maxillofacial surgery. The integration of all steps such as planning, documentation and the procedure itself saves time and precious resources. The best available imaging devices and user interfaces reduce the need for extensive personnel in the OR and facilitate new minimally invasive procedures. The immediate possibility of postoperative control images in CT-like quality enables the surgeon to react to problems during the same procedure without the need for later revision.

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Literatur

  1. Arand M, Kinzl L, Gebhard F (2004) Computer-guidance in percutaneous screw stabilization of the iliosacral joint. Clin Orthop Relat Res (422):201–207

    Article  Google Scholar 

  2. Atesok K, Schemitsch EH (2010) Computer-assisted trauma surgery. J Am Acad Orthop Surg 18:247–258

    PubMed  Google Scholar 

  3. Baldauf J, Muller JU, Fleck S et al (2008) The value of intraoperative three dimensional fluoroscopy in anterior decompressive surgery of the cervical spine. Zentralbl Neurochir 69:30–34

    Article  PubMed  CAS  Google Scholar 

  4. Beck M, Moritz K, Gierer P et al (2009) Intraoperative control of pedicle screw position using three-dimensional fluoroscopy. A prospective study in thoracolumbar fractures. Z Orthop Unfall 147:37–42

    Article  PubMed  CAS  Google Scholar 

  5. Biasi L, Ali T, Ratnam LA et al (2009) A multicenter randomized trial of cryo stripping versus conventional stripping of the great saphenous vein. J Vasc Surg 49:288–295

    Article  PubMed  Google Scholar 

  6. Bischoff M, Hebecker A, Hartwig E, Gebhard F (2004) Cost effectiveness of intraoperative three-dimensional imaging with a mobile surgical C-arm. Unfallchirurg 107:712–715

    PubMed  CAS  Google Scholar 

  7. Bonatti J, Vassiliades T, Nifong W et al (2007) How to build a cath-lab operating room. Heart Surg Forum 10:E344–E348

    Article  PubMed  Google Scholar 

  8. Cribier A, Eltchaninoff H, Bash A et al (2002) Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation 106:3006–3008

    Article  PubMed  Google Scholar 

  9. Ellis MJ, Kulkarni AV, Drake JM et al (2010) Intraoperative angiography during microsurgical removal of arteriovenous malformations in children. J Neurosurg Pediatr 6:435–443

    Article  PubMed  Google Scholar 

  10. Gebhard F, Kraus M, Schneider E et al (2003) Radiation dosage in orthopedics – a comparison of computer-assisted procedures. Unfallchirurg 106:492–497

    Article  PubMed  CAS  Google Scholar 

  11. Gellrich NC, Schramm A, Hammer B et al (2002) Computer-assisted secondary reconstruction of unilateral posttraumatic orbital deformity. Plast Reconstr Surg 110:1417–1429

    Article  PubMed  Google Scholar 

  12. Gnahm C, Hartung C, Friedl R et al (2009) Towards navigation on the heart surface during coronary arterty bypass grafting. Int J Comput Assist Radiol Surg 4:105–112

    Article  PubMed  Google Scholar 

  13. Holzhey DM, Jacobs S, Mochalski M et al (2007) Seven-year follow-up after minimally invasive direct coronary artery bypass: experience with more than 1300 patients. Ann Thorac Surg 83:108–114

    Article  PubMed  Google Scholar 

  14. Hufner T, Stubig T, Gosling T et al (2007) Cost-benefit analysis of intraoperative 3D imaging. Unfallchirurg 110:14–21

    Article  PubMed  CAS  Google Scholar 

  15. Kamer L, Noser H, Schramm A, Hammer B (2010) Orbital form analysis: problems with design and positioning of precontoured orbital implants: a serial study using post-processed clinical CT data in unaffected orbits. Int J Oral Maxillofac Surg 39:666–672

    Article  PubMed  CAS  Google Scholar 

  16. Kraus MD, Krischak G, Keppler P et al (2010) Can computer-assisted surgery reduce the effective dose for spinal fusion and sacroiliac screw insertion? Clin Orthop Relat Res 468:2419–2429

    Article  PubMed  Google Scholar 

  17. Ng PY, Huddle D, Gunel M, Awad IA (2000) Intraoperative endovascular treatment as an adjunct to microsurgical clipping of paraclinoid aneurysms. J Neurosurg 93:554–560

    Article  PubMed  CAS  Google Scholar 

  18. Paraskevopoulos D, Unterberg A, Metzner R et al (2010) Comparative study of application accuracy of two frameless neuronavigation systems: experimental error assessment quantifying registration methods and clinically influencing factors. Neurosurg Rev 34:217–228

    Article  PubMed  Google Scholar 

  19. Quigley RL (2011) A hybrid approach to cardiac resynchronization therapy. Ann Thorac Cardiovasc Surg 17:273–276

    Article  PubMed  Google Scholar 

  20. Reicher B, Poston RS, Mehra MR et al (2008) Simultaneous „hybrid“ percutaneous coronary intervention and minimally invasive surgical bypass grafting: feasibility, safety, and clinical outcomes. Am Heart J 155:661–667

    Article  PubMed  Google Scholar 

  21. Rock C, Linsenmaier U, Brandl R et al (2001) Introduction of a new mobile C-arm/CT combination equipment (ISO-C-3D). Initial results of 3-D sectional imaging. Unfallchirurg 104:827–833

    Article  PubMed  CAS  Google Scholar 

  22. Schramm A, Gellrich NC, Gutwald R et al (2000) Indications for computer-assisted treatment of cranio-maxillofacial tumors. Comput Aided Surg 5:343–352

    Article  PubMed  CAS  Google Scholar 

  23. Srivastava S, Gadasalli S, Agusala M et al (2006) Use of bilateral internal thoracic arteries in CABG through lateral thoracotomy with robotic assistance in 150 patients. Ann Thorac Surg 81:800–806

    Article  PubMed  Google Scholar 

  24. Tang G, Cawley CM, Dion JE, Barrow DL (2002) Intraoperative angiography during aneurysm surgery: a prospective evaluation of efficacy. J Neurosurg 96:993–999

    Article  PubMed  Google Scholar 

  25. Walsh SR, Tang TY, Sadat U et al (2008) Endovascular stenting versus open surgery for thoracic aortic disease: systematic review and meta-analysis of perioperative results. J Vasc Surg 47:1094–1098

    Article  PubMed  Google Scholar 

  26. Wich M, Spranger N, Ekkernkamp A (2004) Intraoperative imaging with the ISO C(3D). Chirurg 75:982–987

    Article  PubMed  CAS  Google Scholar 

  27. Zwingmann J, Konrad G, Kotter E et al (2009) Computer-navigated iliosacral screw insertion reduces malposition rate and radiation exposure. Clin Orthop Relat Res 467:1833–1838

    Article  PubMed  Google Scholar 

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Gebhard, F., Riepl, C., Richter, P. et al. Der Hybridoperationssaal. Unfallchirurg 115, 107–120 (2012). https://doi.org/10.1007/s00113-011-2118-3

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