Application of the Hybrid Operating Room in Surgery: A Systematic Review

Jin, Hao; Liu, Junwei

doi:10.1080/08941939.2020.1838004

Cited by 20 publications

(12 citation statements)

References 38 publications

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“…Alongside these structural features, there are also methodological and technical elements that promote radiation protection, including the detector size and the option for road mapping. In addition to these elements, larger room sizes allow working at a greater distance from the radiation source, which is beneficial for the staff [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems

Arnautovic,

Garabet,

Ziegler

et al. 2024

JCDD

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Background: For (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR. Methods: All patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included. Data were retrieved from archived medical records. Endpoints were analyzed for SOR versus HOR during (T)EVAR. Results: A total of 93 patients, including 50 EVAR (SOR (n = 20); HOR (n = 30)) and 43 TEVAR (SOR (n = 22); HOR (n= 21)) were included. The dose area product (DAP) for EVAR and TEVAR was lower in the SOR than in the HOR (EVAR, SOR: 1635 ± 1088 cGy·cm2; EVAR, HOR: 7819 ± 8928 cGy·cm2; TEVAR, SOR: 8963 ± 34,458 cGy·cm2; TEVAR, HOR: 14,591 ± 11,584 cGy·cm2 (p < 0.05)). Procedural fluoroscopy time was shorter in the SOR than in the HOR for EVAR and TEVAR (EVAR, SOR: 7 ± 4 min; EVAR, HOR: 18.8 ± 11.3 min; TEVAR, SOR: 6.6 ± 9.6 min; TEVAR, HOR: 13.9 ± 11.8 min (p < 0.05)). Higher volumes of contrast agent were applied during EVAR and TEVAR in the SOR than in the HOR (EVAR, SOR: 57.5 ± 20 mL; EVAR: HOR: 33.3 ± 5 mL (p < 0.05); TEVAR; SOR: 71.5 ± 53.4 mL, TEVAR, HOR: 48.2 ± 27.5 mL (p ≥ 0.05). Conclusion: The use of a fixed C-arm angiography system in the HOR results in higher radiation exposure and longer fluoroscopy times but lower contrast agent volumes when compared with mobile C-arm systems in the SOR. Because stochastic radiation sequelae are more likely to be tolerated in an older patient population and, in addition, there is a higher incidence of CKD in this patient population, allocation of patients to the HOR for standard (T)EVAR seems particularly advisable based on our results.

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Section: Discussionmentioning

confidence: 99%

Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems

Arnautovic,

Garabet,

Ziegler

et al. 2024

JCDD

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“…The department of obstetrics and gynecology should include board-certified ob-gyns actively involved in institution level peer review, patient-care policy determination, and continuous quality improvement. A level IV facility has level III capabilities, plus a hybrid operating room (capability to provide advanced imaging in the operating room) 26 ; advanced radiologic services available at all times; a full range of coordinated support services available, such as genetic counseling, physical therapy, wound care, and occupational therapy; as well as gynecologic specialists and subspecialists readily available at all times to manage the most complex patients.…”

Section: Definition Of Levels Of Gynecologic Carementioning

confidence: 99%

Levels of Gynecologic Care

Breitkopf

Banks

Chelmow

et al. 2023

Obstetrics &Amp; Gynecology

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“…Hybrid operating rooms have been used in a variety of surgical procedures. The advantages of the hybrid operating room include the ability to intraoperatively confirm the lesion and the therapeutic effect of the surgery [8]. Here, we report a case, wherein we performed and completed fenestration in a hybrid operating room with interventional radiology for a patient with portal hypertension and IVC and hepatic vein stenosis caused by multiple huge liver cysts.…”

Section: Introductionmentioning

confidence: 99%

Treatment of multiple huge liver cysts in a hybrid operating room: a case report

Ishikawa¹,

Kuroda

Chosa

et al. 2021

surg case rep

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Background Liver cysts are common, with most cases being asymptomatic. In symptomatic cases, the disease is amenable to treatment. However, huge or multiple liver cysts with vascular narrowing and associated systemic symptoms are extremely rare. Furthermore, the performance of a reliable and effective surgery in such cases remains a major problem. Here, we report a case of multiple giant liver cysts with impaired blood flow surgically treated in a hybrid operating room. Case presentation A 73-year-old male presented to a previous doctor with leg edema and dyspnea on exertion; computed tomography revealed that the cause complaint was right lung and heart compression and inferior vena cava (IVC) stenosis due to huge liver cysts in the caudal lobe. The patient was referred to our hospital because of disease recurrence despite percutaneous aspiration of the cyst. Multiple liver cysts were observed in addition to the drained cysts, two of which were located on both sides of the IVC and caused IVC stenosis. We performed open surgery for the liver cysts and used the hybrid operating room for intraoperative IVC angiography and measuring the hepatic vein and portal vein (PV) pressure. We performed unroofing of the hepatic cyst and cauterization of the cyst wall on the hepatic side. Angiography was performed before and after unroofing of the liver cysts, and IVC stenosis release was confirmed. IVC pressure measured at the peripheral side of the stenosis and PV pressures were continuously measured during surgery and were confirmed to have decreased during the opening of the liver cysts. The patient had a good postoperative course and was discharged on the 10th postoperative day. No recurrence was observed 6 months postoperatively. Conclusions Cyst unroofing surgery using angiography in a hybrid operating room is a useful treatment for deep hepatic lesions in that vascular stenosis improvement can be intraoperatively confirmed. Moreover, in cases wherein the cyst compresses the vasculature, intraoperative monitoring of IVC and PV pressures can be used to prove that the liver cyst is hemodynamically involved.

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Application of the Hybrid Operating Room in Surgery: A Systematic Review

Cited by 20 publications

References 38 publications

Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems

Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems

Levels of Gynecologic Care

Treatment of multiple huge liver cysts in a hybrid operating room: a case report

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