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Hybrid Operating Room

Newly established state-of-the-art hybrid operating room

Hokkaido University Hospital newly established a state-of-the-art hybrid operating room in May 2016.

This system will be operating at full capacity following a series of tests.

The hybrid operating room has a high-performance fluoroscope and an operating table specifically for endovascular therapy, which is being performed more frequently than ever in various fields.

Toshiba’s INFX-8000H, a state-of-the-art X-ray angiography system, as a fluoroscope and Maquet’s versatile Magnus operating table are employed, and have been linked for the first time in the world to dramatically improve safety and convenience of treatment, under specifications meeting the requirements for cerebral surgery, orthopedic surgery, cardiac surgery and major vascular surgery.

Endovascular therapy, which has previously been performed in specialized catheterization laboratories, can now be performed more safely in this specialized operating room. The use of fluoroscopy during treatment also allows the creation of 3D images using contrast media. The integration of these cutting-edge peripheral support systems and inspection images increases the accuracy of treatment, further expanding the possibility of advanced endovascular therapy and new surgical procedures.

In the cardiovascular surgery field, stent-grafting (endovascular therapy) for aortic aneurysms can be performed more safely and quickly. With the start of TAVR (transcatheter aortic valve replacement: minimally invasive surgical procedure using a catheter to restore/replace the aortic valve), the extended utilization of the hybrid operating room is expected in the near future.

In the neurosurgery field, intraoperative angiographic diagnosis and combination with intravascular procedures using a catheter for cerebral arteriovenous malformations and spinal vascular malformations can be performed more accurately and in more detail. For complicated giant cerebral aneurysms, which are extremely difficult to treat, combination therapy with craniotomy bypass surgery and endovascular embolization is expected to advance rapidly. For craniotomy, intraoperative CT scanning becomes possible, which will significantly improve the safety of such surgery.

In the orthopaedic surgery field, it becomes possible to safely and securely install and correct implants for congenital malformation/diseases and skeletal deformation due to injury. Complicatedly deformed bones can be observed from various directions. A quick look at reconstructed CT images and 3D images is also expected to facilitate 3D correction and minimize the risk of vascular injury.

Hybrid operating room