BACKGROUND A hybrid operating room(hybrid-OR)is a surgical space that combines a conventional operating room with advanced medical imaging devices.AIM To explore and summarize the technical features and effectiveness ...BACKGROUND A hybrid operating room(hybrid-OR)is a surgical space that combines a conventional operating room with advanced medical imaging devices.AIM To explore and summarize the technical features and effectiveness of the application of a hybrid-OR in dealing with spinal dural arteriovenous fistulas(SDAVFs).METHODS Eleven patients with SDAVFs were treated with the use of a hybrid-OR at the Department of Neurosurgery of our hospital between January 2015 and December 2018.The dual-marker localization technique was used in the hybrid-OR to locate the SDAVFs and skin incision,and the interoperative digital subtraction angiography(DSA)technique was used before and after microsurgical ligation of the fistulae in the hybrid-OR to verify the accuracy of obliteration.The patients were followed for an average of 2 years after the operation,and the preoperative American Spinal Cord Injury Association(ASIA)score and postoperative ASIA score at 6 mo after the operation were compared.RESULTS The location and skin incision of the SDAVFs were accurately obtained by using the dual-marker localization technique in the hybrid-OR in all patients,and there were no cases that required expansion of the range of the bone window in order to expose the lesions.Intraoperative error obliteration occurred and was identified in two patients by using the intraoperative DSA technique;therefore,the findings provided by the intraoperative DSA system significantly changed the surgical procedure in these two patients.With the assistance of the hybrid-OR,the feeding artery was correctly ligated in all cases,and the intraoperative error obliteration rate decreased from 18.2%(2/11)to 0%.All 11 patients were followed for an average of 2 years.The ASIA score at 6 mo after the operation was significantly improved compared with the preoperative ASIA score,and there were no patients with late recurrence during the follow-up.CONCLUSION Compared with intra-arterial embolization for the treatment of SDAVFs,hybrid-ORs can solve the problem of a higher incidence of initial failure and late recurrence.Compared with direct occlusion of SDAVFs in microsurgery,hybrid-ORs can take advantage of the intraoperative DSA system for locating the shunt and verifying the obliteration of fistulae in order to reduce the error obliteration rate.At this point,our experience suggests that the safety and ease of use make hybrid-ORs combined with microsurgery and intraoperative DSA systems an attractive modality for dealing with SDAVFs.展开更多
This paper presents an experience carried out in 2007 in Europe under INTEROP Network of Excellence to develop a curriculum of Master education programme on interoperability of enterprise applications and software(INT...This paper presents an experience carried out in 2007 in Europe under INTEROP Network of Excellence to develop a curriculum of Master education programme on interoperability of enterprise applications and software(INTEROP Academic Master Programme).The paper presents the content of this master curriculum and the methodology for the implementation.Lessons leaned and future perspectives to further develop this master under INTEROP VLab(Virtual Laboratory)are outlined and conclusions are drawn at the end of the paper.展开更多
阿朗OTC获Best of Interop最佳协作奖：日前,阿朗宣布其iPad版OpenTouchConversation（OTC）解决方案荣获2012年＂Best of Interop＂最佳协作奖。继2011年数据中心交换蓝图解决方案荣获数据中心与存储类＂Best of Interop＂大奖之后,阿...阿朗OTC获Best of Interop最佳协作奖：日前,阿朗宣布其iPad版OpenTouchConversation（OTC）解决方案荣获2012年＂Best of Interop＂最佳协作奖。继2011年数据中心交换蓝图解决方案荣获数据中心与存储类＂Best of Interop＂大奖之后,阿朗连续2年在＂Best of Interop＂折桂。展开更多
基金the Tianjin Science and Technology Projects in Key Areas of Traditional Chinese Medicine,No.2018001.
文摘BACKGROUND A hybrid operating room(hybrid-OR)is a surgical space that combines a conventional operating room with advanced medical imaging devices.AIM To explore and summarize the technical features and effectiveness of the application of a hybrid-OR in dealing with spinal dural arteriovenous fistulas(SDAVFs).METHODS Eleven patients with SDAVFs were treated with the use of a hybrid-OR at the Department of Neurosurgery of our hospital between January 2015 and December 2018.The dual-marker localization technique was used in the hybrid-OR to locate the SDAVFs and skin incision,and the interoperative digital subtraction angiography(DSA)technique was used before and after microsurgical ligation of the fistulae in the hybrid-OR to verify the accuracy of obliteration.The patients were followed for an average of 2 years after the operation,and the preoperative American Spinal Cord Injury Association(ASIA)score and postoperative ASIA score at 6 mo after the operation were compared.RESULTS The location and skin incision of the SDAVFs were accurately obtained by using the dual-marker localization technique in the hybrid-OR in all patients,and there were no cases that required expansion of the range of the bone window in order to expose the lesions.Intraoperative error obliteration occurred and was identified in two patients by using the intraoperative DSA technique;therefore,the findings provided by the intraoperative DSA system significantly changed the surgical procedure in these two patients.With the assistance of the hybrid-OR,the feeding artery was correctly ligated in all cases,and the intraoperative error obliteration rate decreased from 18.2%(2/11)to 0%.All 11 patients were followed for an average of 2 years.The ASIA score at 6 mo after the operation was significantly improved compared with the preoperative ASIA score,and there were no patients with late recurrence during the follow-up.CONCLUSION Compared with intra-arterial embolization for the treatment of SDAVFs,hybrid-ORs can solve the problem of a higher incidence of initial failure and late recurrence.Compared with direct occlusion of SDAVFs in microsurgery,hybrid-ORs can take advantage of the intraoperative DSA system for locating the shunt and verifying the obliteration of fistulae in order to reduce the error obliteration rate.At this point,our experience suggests that the safety and ease of use make hybrid-ORs combined with microsurgery and intraoperative DSA systems an attractive modality for dealing with SDAVFs.
文摘This paper presents an experience carried out in 2007 in Europe under INTEROP Network of Excellence to develop a curriculum of Master education programme on interoperability of enterprise applications and software(INTEROP Academic Master Programme).The paper presents the content of this master curriculum and the methodology for the implementation.Lessons leaned and future perspectives to further develop this master under INTEROP VLab(Virtual Laboratory)are outlined and conclusions are drawn at the end of the paper.
文摘阿朗OTC获Best of Interop最佳协作奖：日前,阿朗宣布其iPad版OpenTouchConversation（OTC）解决方案荣获2012年＂Best of Interop＂最佳协作奖。继2011年数据中心交换蓝图解决方案荣获数据中心与存储类＂Best of Interop＂大奖之后,阿朗连续2年在＂Best of Interop＂折桂。
