ABSTRACT
BACKGROUND: Digitalization in surgery makes it necessary to develop modern surgical concepts. New approaches to system networking with integration and open standardized communication of all medical devices are being pursued. METHODS: At the University Hospital Leipzig, a demonstration of the integrated OR was carried out together with the Innovation Center for Computer Assisted Surgery (ICCAS) using the example of a cochlea implantation. The preoperative management, technical preparation, surgical procedure and postoperative documentation by a total of nâ=â30 study participants (2 expert groups) were evaluated. In addition to the collection of objective parameters, qualitative questionnaires and quantitative, interval-scaled questions were used. RESULTS: Preoperatively, the digital presentation of the patient's clinical data was considered as helpful by both groups (group 1: medianâ=â5, group 2: medianâ=â4). This also applies to the personalized OR settings, the intraoperative display options and the dynamic, surgeon-centered visualization (medianâ=â4). Similar positive conclusions were drawn for postoperative documentation and postoperative follow-up (medianâ=â4). A significant difference in the final evaluation of the integrated surgical concept between the two expert groups could not be determined (pâ>â0.05). CONCLUSIONS: The positive study results show that the theoretical idea of system networking based on open standards can be successfully implemented in practice using the example of a cochlea implantation. Thus, the intelligent "operating room of the future" no longer seems to be a fictitious idea, but a realistic image of modern surgical medicine.