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中华腔镜泌尿外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (03) : 182 -186. doi: 10.3877/cma.j.issn.1674-3253.2021.03.002

临床研究

一种无线超高清腔镜系统在泌尿外科的研发与应用
梁朝朝1,(), 郝宗耀1, 杨诚1, 尹水平1, 牛迪1, 施浩强1, 周骏1, 邰胜1, 邹志辉1, 傅强2, 孟凡2   
  1. 1. 230022 合肥,安徽医科大学第一附属医院泌尿外科,安徽医科大学泌尿外科研究所,泌尿生殖系统疾病安徽省重点实验室,安徽省转化医学研究院
    2. 231202 合肥,合肥德铭电子有限公司
  • 收稿日期:2021-03-15 出版日期:2021-06-01
  • 通信作者: 梁朝朝
  • 基金资助:
    安徽高校协同创新项目(GXXT-2019-014); 安徽省转化医学研究院科研基金2020年省转化医学研究重大项目(ZHYX2020A003)

Development and application of a wireless ultra-high-definition endoscopic system in urology

Chaozhao Liang1,(), Zongyao Hao1, Cheng Yang1, Shuiping Yin1, Di Niu1, Haoqiang Shi1, Jun Zhou1, Sheng Tai1, Zhihui Zou1, Qiang Fu2, Fan Meng2   

  1. 1. Department of Urology, the First Affiliated Hospital of Anhui Medical University; Institute of Urology, Anhui Medical University; Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University; Anhui Provincial Institute of Translational Medicine, Hefei 230022, China
    2. Hefei Deming Electronics Co Ltd, Hefei 231202, China
  • Received:2021-03-15 Published:2021-06-01
  • Corresponding author: Chaozhao Liang
引用本文:

梁朝朝, 郝宗耀, 杨诚, 尹水平, 牛迪, 施浩强, 周骏, 邰胜, 邹志辉, 傅强, 孟凡. 一种无线超高清腔镜系统在泌尿外科的研发与应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2021, 15(03): 182-186.

Chaozhao Liang, Zongyao Hao, Cheng Yang, Shuiping Yin, Di Niu, Haoqiang Shi, Jun Zhou, Sheng Tai, Zhihui Zou, Qiang Fu, Fan Meng. Development and application of a wireless ultra-high-definition endoscopic system in urology[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(03): 182-186.

目的

腹腔镜技术是外科学发展史上里程碑式的变革。传统腹腔镜的各类连接线存在限制腔镜移动、妨碍术中操作、潜在污染术区和引发安全事故等不足。为此我们团队历时五年首次研发了无线超高清腔镜系统,并介绍该系统的特点和模拟应用结果。

方法

无线超高清腔镜系统将传统腔镜摄像电缆线和冷光源线进行了集成,并超低延迟无线传输到超高清监视器、手机端和云平台。选择30名医师使用该无线腔镜系统和传统国产有线高清腹腔镜手术系统进行拾豆试验、剪纸试验等腹腔镜基本操作,操作结束后在清晰度(赋值1-5分,5分非常清晰,1分非常不清晰)和握持感(赋值1-5分,5分非常舒适,1分非常不适)和图像延迟(有或无)三个方面对两个系统进行评价。

结果

使用iso12233标准测试卡,无线腔镜的图像清晰度高于有线腔镜,其清晰度得分平均值大于有线腔镜[(4.8±0.4)vs(4.5±0.5),P=0.029],握持感得分平均值大于有线腔镜[(4.6±0.7) vs(3.0±0.7),P<0.001]。在画面延迟感方面,无线和有线相比差异无统计学意义(P=0.99)。

结论

本无线超高清腔镜系统拥有超高清显像、无线连接、小体积、低成本、易便携和高速无线传输等优势。

Objective

Laparoscopic technique is a landmark reform in the history of surgery. Various wired connections of traditional laparoscopy has some disadvantages such as restricting the movement of laparoscope, hindering intraoperative manipulation, potentially contaminating operation area and causing safety accidents. So our team has spent five years developing a wireless ultra-high-definition endoscopic system for the first time, and introduce the characteristics of this system and simulation application results.

Methods

This wireless ultra-high-definition endoscopic system integrates the camera cable and light source cable, and wirelessly transmits intraoperative images to the ultra-high-definition monitor, mobile phone terminal and cloud platform with ultra-low delay. Thirty doctors used this wireless ultra-high-definition endoscopic system and a traditional domestic wired high-definition laparoscopic system to complete basic laparoscopic operations such as bean picking test and paper cutting test. After that, this two systems were evaluated in definition (1-5 scores, 5 scores= very clear, 1 score=very unclear), ergonomics (1-5 scores, 5 scores=very comfortable, 1 score=very uncomfortable) and image delay (with or without).

Results

Based on iso12233 standard test card, the image definition of wireless endoscopy was higher than that of wired laparoscopy. The mean score of image definition of wireless endoscopy was also higher than that of wired laparoscopy [(4.8±0.4) vs (4.5±0.5), P=0.029]. The mean score on ergonomics of wireless endoscopy was higher than that of wired laparoscopy [(4.6±0.7) vs (3.0±0.7), P<0.001]. There was no difference in the image delay between this two systems (P=0.99).

Conclusion

There are various advantages of this wireless ultra-high-definition endoscopic system including ultra-high-definition images, cordless design, small size, low cost, portability and high-speed wireless signal transmission.

图3 无线超高清腔镜(a和b)和国产有线腔镜(c和d)的图像对比
表1 30名具有5年以上腔镜经验的医师对两种腔镜系统的评价比较
[1]
马超光,闫成智. 3d腹腔镜系统在泌尿外科的临床应用进展[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2017, 11(2): 134-138.
[2]
温星桥,祝炜安,王喻, 等. Dvpv系统三维影像及虚拟现实导航在泌尿外科复杂手术的应用[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2020, 14(2): 91-95.
[3]
黄海,马晓明,刘皓, 等. 机器人辅助腹腔镜前列腺癌根治术的进展[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(3): 145-148.
[4]
Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report[J]. J Urol, 2017, 197(2s): S182-S186.
[5]
王林辉,吴震杰,朱清毅. 中国泌尿外科单孔腹腔镜技术的发展与展望[J]. 中华泌尿外科杂志, 2020, 41(11): 807-810.
[6]
王东文,原小斌. 走进数字泌尿新时代:数字医学技术在精准泌尿外科的应用[J/CD]. 中华腔镜外科杂志(电子版), 2019, 12(2): 70-74.
[7]
Chen C-H, Chang H, Liu T-P, et al. Application of wireless electrical non-fiberoptic endoscope: potential benefit and limitation in endoscopic surgery[J]. Int J Surg, 2015, 19: 6-10.
[8]
郑民华,马君俊. 腹腔镜手术技术平台的现状与发展趋势[J]. 外科理论与实践, 2020, 25(3): 181-183.
[9]
Abdelrahman M, Belramman A, Salem R, et al. Acquiring basic and advanced laparoscopic skills in novices using two-dimensional (2d), three-dimensional (3d) and ultra-high definition (4k) vision systems: a randomized control study[J]. Int J Surg, 2018, 53: 333-338.
[10]
Lacy AM, Bravo R, Otero-Piñeiro AM, et al. 5g-assisted telementored surgery[J]. Br J Surg, 2019, 106(12): 1576-1579.
[11]
Gjeraa K, Spanager L, Konge L, et al. Non-Technical skills in minimally invasive surgery teams: a systematic review[J]. Surg Endosc, 2016, 30(12): 5185-5199.
[12]
Kim FJ, Sehrt D, Molina WR, et al. Clinical use of a cordless laparoscopic ultrasonic device[j]. jsls-journal of the society of laparoendoscopic surgeons, 2014, 18(3): 001153.
[13]
Reda A, Said TM, Mourad S. Role of laparoscopic exploration under local anesthesia in the management of hemodynamically stable patients with penetrating abdominal injury[J]. J Laparoendosc Adv Surg Tech A, 2016, 26(1): 27-31.
[14]
Hunt B, Fregnani J, Schwarz RA, et al. Diagnosing cervical neoplasia in rural brazil using a mobile van equipped with in vivo microscopy: a cluster-randomized community trial[J]. Cancer Prev Res (Phila), 2018, 11(6): 359-370.
[15]
Price MD, Shalabi HT, Guzhñay B, et al. Patient perspectives on barriers to surgical care and the impact of mobile surgery in ecuador[J]. World J Surg, 2017, 41(10): 2417-2422.
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