导航在腹腔镜肾切除术中的应用进展

      Advances in Application of Mixed Reality-Assisted Surgical Navigation in Laparoscopic Nephrectomy

      • 摘要: 在腹腔镜肾切除术中,如何在切除复杂肾肿瘤的同时保留更多肾功能,一直是外科医师面临的难题。近年来,影像可视化技术不断进步,泌尿外科开始引入多种导航系统辅助术前规划和术中操作。混合现实技术的加入,使术者能够在真实视野中叠加三维解剖信息,从而更直观地判断肿瘤位置及其与重要结构的关系。本综述结合近年国内外相关研究,对常用导航系统的特点及其在腹腔镜部分肾切除术中的应用成效进行梳理,并结合临床报道讨论其在提高手术精度、缩短手术时间和改善患者预后等方面的作用,以期为后续在泌尿外科领域推广混合现实导航提供参考。

         

        Abstract: In laparoscopic nephrectomy, preserving as much renal function as possible while resecting complex renal tumors has long been a significant challenge for surgeons. In recent years, advancements in imaging visualization technology have led urologists to adopt various navigation systems to assist in preoperative planning and intraoperative procedures. The integration of mixed reality technology enables surgeons to overlay three-dimensional anatomical information onto the real-world visual field, thereby facilitating more intuitive, assessment of tumor location and its relationship with critical structures. This review synthesizes recent domestic and international studies to summarize the characteristics of commonly used navigation systems and their application outcomes in laparoscopic partial nephrectomy. It also discusses their role in improving surgical precision, reducing surgical time, and enhancing patient outcomes based on clinical reports, with the aim of providing reference for the future promotion of mixed reality navigation in the field of urology.

         

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