术中应用增强现实技术指导DIEP皮瓣切除术。

IF 3.2 2区医学 Q1 SURGERY

Plastic and reconstructive surgery Pub Date : 2025-06-01 Epub Date: 2024-11-18 DOI:10.1097/PRS.0000000000011863

Philip M Edgcumbe, Tony Jiang, Joshua F Ho, Michael L Martin, Michael J Stein, Kathryn V Isaac

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引用次数: 0

摘要

摘要：用于手术导航的增强现实（AR）系统提供了将术前CT扫描和分割的解剖结构直接投射到外科医生视野中的能力，以及类似于传统监视器的虚拟显示。使用Meta Quest 3消费类AR头戴式设备，我们发现它可以达到临床上可接受的上腹部深下穿支（DIEP）手术导航精度。值得注意的是，Quest 3可以独立操作，这要归功于一种采用手部跟踪的新颖注册技术，适合在无菌环境中使用。DIEP皮瓣是自体乳房重建的广泛选择。术中，选择穿支动脉以最大限度地增加组织灌注并减少供区发病率。传统上，术前CT血管造影用于定位穿支和可视化血管路线，从而减少DIEP皮瓣收获时间和并发症发生率。然而，目前有非常有限的手段可以可靠地将术前成像发现的信息转化为手术室使用。Meta Quest 3在三次DIEP皮瓣手术中进行试验，在术前和术中显示分段的上腹部深下动脉和DIEP动脉。AR投影通过指导筋膜切口的位置和长度，促进了DIEP动脉的可视化和有效的椎弓根剥离。此外，本研究支持了AR将改进皮瓣设计、缩短收获时间和提高DIEP皮瓣收获安全性的假设。

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Intraoperative Surgical Guidance for DIEP Flap Harvest Using Augmented Reality.

Summary: Augmented reality systems for surgical navigation provide the capability to project preoperative computed tomographic scans and segmented anatomical structures directly into the surgeon's field of view, along with virtual displays akin to traditional monitors. Using the Meta Quest 3 consumer augmented reality headset, the authors found that it can achieve clinically acceptable accuracy in surgical navigation for deep inferior epigastric perforator operations. Notably, the Quest 3 can operate independently because of a novel registration technique using hand tracking, suitable for use in sterile environments.

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.