可视导航、超声引导、徒手经皮肾盏穿刺--简化复杂手术任务的新型设备的临床前评估

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-15 DOI:10.1055/a-2324-7668

G. Wakileh, Manuel Hohmann, Marie Claire Rassweiler-Seyfried, J. Klein

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引用次数: 0

摘要

目的经皮穿刺肾盏系统的徒手声像图技术正在兴起。掌握这项技术需要大量的时间和练习。导航辅助穿刺可使经皮穿刺更容易、更快速。本研究的目的是确定导航穿刺是否可行，与传统的声像图手术相比是否更简单、更快捷。材料与方法与传统的徒手超声穿刺技术相比，我们使用 Xperius 超声系统结合 Stimuplex Onvision 空心针的针跟踪技术，对嵌入明胶的猪肾模型进行了前瞻性徒手经皮穿刺。25 名参与者使用带或不带针头跟踪模式的超声波机进行了穿刺。结果与传统方法相比，导航方法使经验丰富组的穿刺次数减少了 0.2 次（8%）。取萼时间缩短了 15 秒（26%）。在新手组，导航穿刺所需的穿刺次数减少了 1.2 次（36%），取萼时间缩短了 70 秒（61%）。结论使用新型设备进行穿刺是可行的。两组患者在使用导航后，成功进入卡氏系统所需的穿刺次数和时间均有所减少，但这一趋势仅在新手组明显。使用针跟踪导航似乎能帮助初学者在声波经皮穿刺时达到与有经验者相似的水平。要进行更精确的分析和验证，还需要进一步的研究。

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Visually navigated, ultrasound-guided, freehand percutaneous calyceal puncture – preclinical evaluation of a novel device to simplify a complex surgical task

Purpose Freehand sonographic percutaneous puncture techniques for the renal calyceal system are on the rise. Much time and practice are required to master this technique. Navigation-supported puncture aids could help make percutaneous access easier and faster. The aim of this study was to determine whether navigated puncture is feasible, and whether it is easier and faster compared to the conventional sonographic procedure. Materials & Methods We performed prospective free-hand percutaneous puncture on a porcine kidney model embedded in gelatin using the Xperius ultrasound system in combination with needle tracking with a Stimuplex Onvision hollow needle, compared to the conventional freehand ultrasound puncture technique. Punctures were performed by 25 participants using the ultrasound machine with or without needle tracking mode. Results Compared to the conventional approach, the navigated approach reduced the number of puncture procedures by 0.2 attempts(8%) in the experienced group. The time to calyx access was reduced by 15 seconds (26%). In the novice group, navigated puncture required 1.2 fewer attempts (36%) and the time to access was 70 seconds faster (61%). Conclusion Puncture using the novel device is feasible. The number of punctures and the time needed for successful access of the calyceal system was reduced by use of navigation in both groups, although the trend was significant only in the novice group. Navigation using needle tracking seems to help beginners perform sonographic percutaneous puncture at a level similar to experienced users. For a more precise analysis and validation, further studies are needed.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.