What should we expect from the hybrid room?

Hertault, Adrien; Sobocinski, Jonathan; Spear, Rafaëlle; Azzaoui, Richard; Delloye, Matthieu; Fabre, Dominique; Haulon, Stéphan

doi:10.23736/s0021-9509.16.09845-1

Cited by 7 publications

(3 citation statements)

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“…These properties of the hybrid OR allow the combination of open and percutaneous interventions, which avoids the need to perform multiple consecutive procedures or intraoperative patient transport. The advanced imaging techniques facilitate planning of the procedure based on the current intraoperative situation, real-time intraoperative guidance, and direct assessment of technical success at the end of the procedure [1,2].…”

Section: Introductionmentioning

confidence: 99%

Image-guided procedures in the hybrid operating room: A systematic scoping review

et al. 2022

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Background The shift from open to minimally invasive procedures with growing complexity has increased the demand for advanced intraoperative medical technologies. The hybrid operating room (OR) combines the functionality of a standard OR with fixed advanced imaging systems to facilitate minimally invasive image-guided procedures. Objective This systematic scoping review provides an overview of the use of the hybrid OR over the years, and reports on the encountered advantages and challenges. Methods We conducted a systematic search in PubMed, Embase, Web of Science, and Cochrane library databases for studies that described procedures being performed with the aid of 3D imaging in the hybrid OR. Results The search identified 123 studies that described 44 distinct procedures, divided over nine clinical disciplines. The number of studies increased from two in 2010 to 15 in the first five months of 2020. Ninety-nine (80%) of the studies described how 3D imaging was performed in the hybrid OR; 95 (96%) used cone-beam CT; four (4%) used multi-detector CT. Advantages and challenges of the hybrid OR were described in 94 (76%) and 34 (35%) studies, respectively. The most frequently reported advantage of using a hybrid OR is the achievement of more accurate treatment results, whereas elongation of the procedure time is the most important challenge, followed by an increase in radiation dose. Conclusion In conclusion, the growing number of clinical disciplines that uses the hybrid OR shows its wide functionality. To optimize its use, future comparative studies should be conducted to investigate which procedures really benefit from being performed in the hybrid OR.

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Section: Introductionmentioning

confidence: 99%

Image-guided procedures in the hybrid operating room: A systematic scoping review

et al. 2022

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“…The hypothesized benefit of IGS is an improvement in surgical performance and reduce the risk of secondary procedures by enabling intraoperative evaluation of surgical success (e.g., surgical margin status), and ultimately improvement in clinical outcomes. 1,[5][6][7][8] The use of IGS in oncology could, for instance, enable intraoperative evaluation of surgical margin status. Considering that the risk of recurrence is associated with positive surgical margins, IGS could play an important role in the future.…”

Section: Introductionmentioning

confidence: 99%

Selecting Image-Guided Surgical Technologies in Oncology: A Surgeon's Perspective

Lindenberg

Retèl

Til

et al. 2021

Journal of Surgical Research

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“…fusion imaging technique) with a common result of increased performances and precision in deployment. [3][4][5] However, many Authors agree considering the bridging stent components as the Achilles' heel of this technique: in fact, the updated results available in literature show a lower target vessel patency and a higher reintervention rate compared to open repair. 6 Bare metal stents and covered stents have been implanted in fenestrated (FEVAR) and branched endografts (BEVAR).…”

Section: Introductionmentioning

confidence: 99%

Current results of balloon expandable visceral stent-grafts in fenestrated endografting

Gibello¹,

Ruffino²,

Varetto³

et al. 2020

J Cardiovasc Surg

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INTRODUCTION: endovascular repair of thoracoabdominal and juxtarenal aortic aneurysm has recently become a valuable alternative to open surgery especially in high-risk patients.Progressive improvements in graft materials and low-profile devices allow treatment of complex aneurysms even in adverse anatomical settings. However, all published experiences report risks of occlusion and reinterventions due to visceral stent-graft failures in the long term. The purpose of this systematic review is to analyze the results of currently used balloon expandable bridging stent-grafts and to evaluate the newest developments for FEVAR in juxtarenal endovascular repair. EVIDENCE ACQUISITION: data were retrieved from retrospective analyses, case series and case reports conducted from 2000 to September 2019. EVIDENCE SYNTHESIS: the literature analysis provided a list of the most commonly used balloon-expandable bridging stent-grafts for FEVAR. For each stent-graft a brief summary of structural characteristics and performances have been described. No Randomised Controlled Trials (RCTs) or comparative data between the stent-grafts are available for this specific topic. CONCLUSIONS: so far, several balloon-expandable stent-grafts have been used as bridging stents during FEVAR but the ideal bridging stent-graft is far to be designed. The better understanding of the system FEVAR-native aorta and the strict collaboration and exchange of expertise between physicians and engineers are mandatory in order to increase the performances of these important components and to reduce re-interventions and complications in FEVAR.

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What should we expect from the hybrid room?

Cited by 7 publications

References 0 publications

Image-guided procedures in the hybrid operating room: A systematic scoping review

Image-guided procedures in the hybrid operating room: A systematic scoping review

Selecting Image-Guided Surgical Technologies in Oncology: A Surgeon's Perspective

Current results of balloon expandable visceral stent-grafts in fenestrated endografting

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