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A systematic review on the application of the hybrid operating room in surgery: experiences and challenges

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Abstract

The hybrid operating room has been widely applied in different surgery sub-specialties. We aim to identify the advantages of hybrid operating rooms by focusing on intraoperative imaging and explore what to do for further improving its application. We searched related literature in websites including Pubmed, MEDLINE, Web of science, using the keywords (“hybrid operating room” or “integrated operating room” or “multifunctional operating room”) and (“surgery” or “technique” or “intervention” or “radiology”). All the searched papers were screened and underwent quality evaluation. A total of 30 literature was eventually identified after full-text screening. These articles covered 10 countries and presented data for 15,558 individuals. The median sample size was 536 (range 8–12,804). Application of the hybrid operating room in general surgery, neurosurgery, thoracic surgery, urology, gynaecologic and obstetrics surgery, cardiovascular surgery, was summarized. Four different operative indicators were applied (operative duration, mortality rate, operation success rate and complication rate). A hybrid OR could significantly increase the operation success rate and reduce operative duration, mortality rates, and complication rates. Further efforts could be made to reduce radiation exposure in the hybrid operating room and increase its cost-effectiveness ratio.

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Abbreviations

3D:

Three-dimensional

AVM:

Arteriovenous malformation

CABG:

Coronary artery bypass grafting

CBCT:

Cone-beam computed tomography

CT:

Computed tomography

dAVF:

Dural arteriovenous fistula

DSA:

Digital subtraction angiography

EEO:

Endonasal odontoidectomy

ICAO:

Internal carotid artery occlusion

ICG:

Indocyanine green

IOCT:

Intraoperative computed tomography

MRI:

Magnetic resonance imaging

NIR:

Near infrared

NSCLC:

Non-small cell lung cancer

OR:

Operating room

PVE:

Portal vein embolization

SDAF:

Spinal dural arteriovenous fistula

TAVR:

Transcatheter aortic valve replacement

TSH:

Two-stage hepatectomy

VAS:

Video-assisted surgery

VATS:

Video-assisted thoracic surgery

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Acknowledgements

We thank Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University) and Zhuhai Health Bureau for providing the necessary support for our study.

Funding

There is no funding to report.

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Authors and Affiliations

  1. The Second Department of General Surgery, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai City, China

    Hao Jin

  2. Zhuhai People’s Hospital (Zhuhai Hospital Affiliated with Jinan University), No. 79 of Kangning Road, Xiangzhou District, Zhuhai City, 519000, Guangdong Province, China

    Ligong Lu

  3. Zhuhai Health Bureau, No. 351 of east Meihua Road, Xiangzhou District, Zhuhai City, 519000, Guangdong Province, China

    Junwei Liu

  4. China’s Communist Party Committee, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated with Jinan University), No. 79 of Kangning Road, Xiangzhou District, Zhuhai City, 519000, Guangdong Province, China

    Min Cui

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  1. Hao Jin
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Contributions

LL, LJ and CM proposed the study. LL and LJ performed the research. CM and JH wrote the first draft. All of the authors contributed to the design and interpretation of the study and to further drafts. LL, LJ and CM are the guarantors.

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Correspondence to Ligong Lu, Junwei Liu or Min Cui.

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Supplementary Information

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13304_2021_989_MOESM1_ESM.jpg

Supplementary Fig. 1 Anesthesia machine and operating table in the hybrid OR. A. Anesthesia machine; B. Operating table. (JPG 507 KB)

13304_2021_989_MOESM2_ESM.jpg

Supplementary Fig. 2 The folding partitions in hybrid ORs of Zhuhai People’s Hospital for radiation safety. A. The folding partitions; B. Folded partitions; C. Unfolded partitions (JPG 180 KB)

13304_2021_989_MOESM3_ESM.jpg

Supplementary Fig. 3 The added corridor (blue region) between two buildings’ hybrid ORs. A. A floor plan to scale of two buildings’ hybrid ORs; B. Local enlarged diagram of the added corridor (JPG 706 KB)

Supplementary Fig. 4 Corridor systems in our hospital’s hybrid ORs (JPG 721 KB)

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Jin, H., Lu, L., Liu, J. et al. A systematic review on the application of the hybrid operating room in surgery: experiences and challenges. Updates Surg 74, 403–415 (2022). https://doi.org/10.1007/s13304-021-00989-6

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  • DOI: https://doi.org/10.1007/s13304-021-00989-6

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