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首页> 外文期刊>Surgical Endoscopy >Universal multifunctional HD video system for minimally invasive open and microsurgery.
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Universal multifunctional HD video system for minimally invasive open and microsurgery.

机译：通用多功能高清视频系统，用于微创开放和显微外科。

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Laparoscopy has familiarized most surgeons with the benefits of a surgical video system, including the ability to magnify fine structures, to display the operative field on a monitor for improved intraoperative communication, and to capture video footage for documentation and education. Use of intraoperative video systems during open surgery is far less common and the potential benefits of this have not been well explored. In this report we describe a simple video system that is applicable to both laparoscopic and open surgery.We employed a standard laparoscopic HD camera (1080p) and telescope for initial laparoscopy. In cases requiring laparotomy, a mechanical arm is attached to the operating table and the camera is mounted without the telescope; this provides video display of the open surgical field. In cases requiring dissection or anastomosis of minute structures, a prototype telescope made for open cases is attached to the same camera; this provides improved magnification and illumination for the surgeon. Microsurgical components can then proceed with the surgeon working off the video monitor at a more convenient posture and with the benefits of video display.This multifunctional HD video system for open abdominal surgery has been utilized in 98 complex hepatopancreaticobiliary surgeries. Clear benefits include (1) improved intraoperative communication, (2) improved teaching of bystanders, (3) improved visualization of minute structures, and (4) improved capture and utilization of surgical video and images for education. In an analysis of patients who underwent pancreaticoduodenectomy (PD) with this system, there was a trend toward fewer pancreatic leaks and shorter length of stay but slightly longer operative time compared to PD prior to implementation of this system.This system can be employed with little added cost over a standard laparoscopy setup and has the potential to be widely utilized in surgical education programs.
机译：腹腔镜检查已经熟悉了大多数外科医生，具有手术视频系统的益处，包括放大细结构的能力，在监视器上显示操作场，以改善术中通信，并捕获文档和教育的视频镜头。在公开手术期间使用术中的视频系统远不太普遍，探讨这一点的潜在好处。在本报告中，我们描述了一种简单的视频系统，适用于腹腔镜和开放式手术。我们使用标准的腹腔镜高清摄像头（1080p）和望远镜，用于初始腹腔镜检查。在需要剖腹手术的情况下，机械臂连接到操作台上，并且在没有望远镜的情况下安装相机;这提供了开放式外科域的视频显示。在需要解剖或分钟结构的吻合的情况下，用于打开壳体的原型望远镜连接到相同的相机上;这为外科医生提供了改进的放大和照明。然后，显微外科部件可以在更方便的姿势和视频显示器的效果中使用外科医生。这种多功能高清视频系统已在98个复合肝癌胆管手术中使用。明确的福利包括（1）改进的术中通信，（2）改进了旁观者的教学，（3）改善了微小结构的可视化，（4）改善了外科手术视频和图像的捕获和利用。在分析对该系统接受胰腺二核切除术（PD）（PD）的患者中，与PD在实施该系统之前，持续胰腺泄漏趋势较少，但保持时间较短，但稍长的操作时间是相比的PD。该系统可以很少使用通过标准的腹腔镜检查设置增加了成本，并且有可能被广泛用于外科教育计划。

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