UASSIGNED:增强现实(AR)已成为神经外科的一种有前途的工具。它可以最大限度地减少传统内窥镜或显微经蝶窦再次手术所面临的解剖学挑战,并可以协助术中指导。术前计划,和手术训练。
未经评估:本系统综述的目的是描述,比较,并评估AR在内窥镜和显微镜下经蝶窦手术中的应用,结合最新的主要研究。
UNASSIGNED:进行了系统评价,以探索和评估在经蝶窦手术中使用AR的现有主要证据。从数据库开始到2021年8月11日,对MEDLINE和EMBASE进行了全面搜索,以获取有关AR在显微镜和内窥镜经鼻颅底手术中使用的主要数据。通过PubMed上的搜索确定了其他文章,谷歌学者,JSTOR,Scopus,WebofScience,工程村,IEEE交易,HDAS。对AR对地标识别的影响进行了定量和定性的无荟萃分析(SWiM)分析。术中导航,准确度,时间,外科医生的经验,和患者结果。
未经评估:在本系统综述中,最终分析包括17项研究。主要发现是AR为地标识别提供了令人信服的改进,术中导航,和外科医生在经蝶窦手术中的经验,对准确性和时间有进一步的积极影响。它对患者的预后没有令人信服的积极影响。没有研究报告比较死亡率,发病率,或成本效益指标。
未经授权:AR引导的经蝶入路手术,内窥镜和显微镜,与传统同行相比,在术中指导和外科医生经验方面的整体改善。然而,这方面的文献,特别是比较数据和证据,是非常有限的。需要更多具有类似方法和定量结果的研究来进行适当的荟萃分析并得出重要结论。
UNASSIGNED: Augmented reality (AR) has become a promising tool in neurosurgery. It can minimise the anatomical challenges faced by conventional endoscopic or microscopic transsphenoidal reoperations and can assist in intraoperative guidance, preoperative planning, and surgical training.
UNASSIGNED: The aims of this systematic
review are to describe, compare, and evaluate the use of AR in endoscopic and microscopic transsphenoidal surgery, incorporating the latest primary research.
UNASSIGNED: A systematic
review was performed to explore and evaluate existing primary evidence for using AR in transsphenoidal surgery. A comprehensive search of MEDLINE and EMBASE was conducted from database inception to 11th August 2021 for primary data on the use of AR in microscopic and endoscopic endonasal skull base surgery. Additional articles were identified through searches on PubMed, Google Scholar, JSTOR, SCOPUS, Web of Science, Engineering Village, IEEE transactions, and HDAS. A synthesis without meta-analysis (SWiM) analysis was employed quantitatively and qualitatively on the impact of AR on landmark identification, intraoperative navigation, accuracy, time, surgeon experience, and patient outcomes.
UNASSIGNED: In this systematic
review, 17 studies were included in the final analysis. The main findings were that AR provides a convincing improvement to landmark identification, intraoperative navigation, and surgeon experience in transsphenoidal surgery, with a further positive effect on accuracy and time. It did not demonstrate a convincing positive effect on patient outcomes. No studies reported comparative mortalities, morbidities, or cost-benefit indications.
UNASSIGNED: AR-guided transsphenoidal surgery, both endoscopic and microscopic, is associated with an overall improvement in the areas of intraoperative guidance and surgeon experience as compared with their conventional counterparts. However, literature on this area, particularly comparative data and evidence, is very limited. More studies with similar methodologies and quantitative outcomes are required to perform appropriate meta-analyses and to draw significant conclusions.