Villazón DO, Cárdenas COA

Language: Spanish
References: 10
Page: 66-72
PDF size: 190.40 Kb.

ABSTRACT

Objective: To summarize some modern aspects of the technology applied to surgery, especially regarding endoscopic surgery.
Data collection: Review of the literature in English (10 references selected).
Selection of studies: Articles related to advances in the design of operating rooms especially for endoscopic surgery were reviewed, with special interest on the future development of operating rooms. Besides, articles relating technological advances to developments in optics, surgical instruments, and teaching were chosen.
Results from data synthesis: The current concept of an operating room for endoscopic surgery has changed, now it is called “Endosuite” or “Video-endoscopic operating room”, and is defined as: “A completely functional operating room designed to perform minimally invasive surgery procedures, through all specialties, with control, digital and electronic operation”, the unit includes: video systems, documentation and control station, ceiling camera, two articulated and motorized arms, electrosurgical unit, video-printer. The traditional circumferential optics system has been changed for grouped quartz filaments and cover. This system allows to attain a visual resolution measured in pixels, which has improved image quality thanks to high definition monitors (HDTV) and image intensifiers coupled to the video cameras (CCD).
The current use of the third dimension is a fact in surgery, the endoscopic and video systems have incorporated the third dimension systems to optimize surgeon’s performance, this offers a greater approximation to stereoscopic vision. The surgical instrumentation and the ergonomic equipments are aimed at increasing the capabilities of minimally invasive procedures and to simplify the surgical act by performing the procedure with the support of an instrument. This gives rise to the concept of improving movements and decrease technical deficiencies, right-hand robotics allow for high precision movements. Finally, the “virtual reality” concept allows contact of the individual with a non-palpable but existing world, easing the possibilities for training in different scenarios, not real ones, without causing damage: an attractive scenario to teach endoscopic surgery.
Conclusion: The modern surgeon must constantly train with high technology models, working in a totally functional operating room for endoscopic procedures.

REFERENCES

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