Applications for a hybrid operating room in thoracic surgery: from multidisciplinary procedures to --image-guided video-assisted thoracoscopic surgery.
The concept of a hybrid operating room represents the union of a high-complexity surgical apparatus with state-of-the-art radiological tools (ultrasound, CT, fluoroscopy, or magnetic resonance imaging), in order to perform highly effective, minimally invasive procedures. Although the use of a hybrid operating room is well established in specialties such as neurosurgery and cardiovascular surgery, it has rarely been explored in thoracic surgery. Our objective was to discuss the possible applications of this technology in thoracic surgery, through the reporting of three cases. RESUMO O conceito de sala híbrida traduz a união de um aparato cirúrgico de alta complexidade com recursos radiológicos de última geração (ultrassom, TC, radioscopia e/ou ressonância magnética), visando a realização de procedimentos minimamente invasivos e altamente eficazes. Apesar de bem estabelecido em outras especialidades, como neurocirurgia e cirurgia cardiovascular, o uso da sala hibrida ainda é pouco explorado na cirurgia torácica. Nosso objetivo foi discutir as aplicações e as possibilidades abertas por essa tecnologia na cirurgia torácica através do relato de três casos.
. Disciplina de Cirurgia Torácica, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.|. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.
Ricardo Mingarini
RM
Terra
. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.
Juliano Ribeiro
JR
Andrade
. Disciplina de Cirurgia Torácica, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.|. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.
Alessandro Wasum
AW
Mariani
. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.
Rodrigo Gobbo
RG
Garcia
. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.|. Disciplina de Tórax, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo (SP) Brasil.
Jose Ernesto
JE
Succi
. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.|. Centro Paulista de Oncologia, São Paulo (SP) Brasil.
Andrey
A
Soares
. Hospital Israelita Albert Einstein, São Paulo (SP) Brasil.
Paulo Marcelo
PM
Zimmer
D000230:Adenocarcinoma / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D017115:Catheter Ablation / Q000295:instrumentation; D005260:Female; D006801:Humans; D061705:Image-Guided Biopsy / Q000295:instrumentation; D008175:Lung Neoplasms / Q000601:surgery*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms / Q000379:methods / Q000458:organization & administration*; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation*; D013908:Thoracotomy / Q000295:instrumentation