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[PMID]:29230977
[Au] Autor:Jo J; Moon BG; Lee JY
[Ad] Endereço:Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
[Ti] Título:Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator.
[So] Source:Korean J Ophthalmol;31(6):533-537, 2017 Dec.
[Is] ISSN:2092-9382
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To report the outcome of scleral buckling using a non-contact wide-angle viewing system with a 25-gauge chandelier endoilluminator. METHODS: Retrospective analyses of medical records were performed for 17 eyes of 16 patients with primary rhegmatogenous retinal detachment (RRD) without proliferative vitreoretinopathy who had undergone conventional scleral buckling with cryoretinopexy using the combination of a non-contact wide-angle viewing system and chandelier endoillumination. RESULTS: The patients were eight males and five females with a mean age of 26.8 ± 10.2 (range, 11 to 47) years. The mean follow-up period was 7.3 ± 3.1 months. Baseline best-corrected visual acuity was 0.23 ± 0.28 logarithm of the minimum angle of resolution units. Best-corrected visual acuity at the final visit showed improvement (0.20 ± 0.25 logarithm of the minimum angle of resolution units), but the improvement was not statistically significant (p = 0.722). As a surgery-related complication, there was vitreous loss at the end of surgery in one eye. As a postoperative complication, increased intraocular pressure (four cases) and herpes simplex epithelial keratitis (one case) were controlled postoperatively with eye drops. One case of persistent RRD after primary surgery needed additional vitrectomy, and the retina was postoperatively attached. CONCLUSIONS: Scleral buckling with chandelier illumination as a surgical technique for RRD has the advantages of relieving the surgeon's neck pain from prolonged use of the indirect ophthalmoscope and sharing the surgical procedure with another surgical team member. In addition, fine retinal breaks that are hard to identify using an indirect ophthalmoscope can be easily found under the microscope by direct endoillumination.
[Mh] Termos MeSH primário: Iluminação/instrumentação
Oftalmoscópios
Descolamento Retiniano/cirurgia
Recurvamento da Esclera/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Desenho de Equipamento
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Descolamento Retiniano/diagnóstico
Estudos Retrospectivos
Cirurgia Assistida por Computador
Fatores de Tempo
Acuidade Visual
Vitreorretinopatia Proliferativa
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3341/kjo.2017.0044


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[PMID]:28464186
[Au] Autor:Chmielnicki M; Prokop A
[Ad] Endereço:Klinik für Unfall- und Wiederherstellungschirurgie, Klinikverbund Südwest, Kliniken Sindelfingen, Sindelfingen.
[Ti] Título:Minimalinvasive thorakoskopische Wirbelkörperersatzoperation durch Implantation eines Obelisken..
[So] Source:Z Orthop Unfall;155(2):229-231, 2017 04.
[Is] ISSN:1864-6743
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Placas Ósseas
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Implante de Prótese/métodos
Fusão Vertebral/instrumentação
Fusão Vertebral/métodos
Cirurgia Torácica Vídeoassistida/métodos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação
Cirurgia Assistida por Computador/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-105498


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[PMID]:28460768
[Au] Autor:Nanjappa V; Sadanand KS; Santhosh K; Basappa H; Manjunath CN; Nayak MH
[Ad] Endereço:Sri Jayadeva Institute of Cardiovascular Sciences and Research, Mysore, India. Electronic address: veenananjappa@yahoo.co.in.
[Ti] Título:Case series: Difficult PTMC using novel technique of veno-arterial looping.
[So] Source:Indian Heart J;69(2):207-210, 2017 Mar - Apr.
[Is] ISSN:0019-4832
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Percutaneous transvenous mitral commissurotomy (PTMC) using Inoue/Accura balloon is an effective procedure for management of patients with rheumatic mitral stenosis. Inability to cross the mitral valve is one of the pertinent reasons for procedural failure. We describe a series of three patients who were tackled with successful PTMC using a novel technique of veno-arterial looping and in the fourth patient we used double loop entry into left ventricle with veno-arterial rail and peripheral balloon dilatation for completing the PTMC. This is first such reported case series in literature to our knowledge.
[Mh] Termos MeSH primário: Valvuloplastia com Balão/métodos
Cateterismo Cardíaco/métodos
Cateterismo Periférico/métodos
Estenose da Valva Mitral/cirurgia
Valva Mitral/cirurgia
Cirurgia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Artérias
Feminino
Fluoroscopia
Seres Humanos
Meia-Idade
Estenose da Valva Mitral/diagnóstico
Veias
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


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[PMID]:29185652
[Au] Autor:Tischler M
[Ti] Título:Guided Implant Surgical Applications.
[So] Source:Dent Today;35(12):48, 2016 Dec.
[Is] ISSN:8750-2186
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Tomografia Computadorizada de Feixe Cônico
Implantação Dentária/métodos
Cirurgia Assistida por Computador
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:28746255
[Au] Autor:Hirabayashi KE; Kalin-Hajdu E; Bever GJ; Vagefi MR; de Alba Campomanes AG; Cooke DL; Dowd CF; Kersten RC
[Ti] Título:Normalization of Congenital Venous Stasis Retinopathy Following Sclerotherapy of a Macrocystic Lymphatic Malformation.
[So] Source:Ophthal Plast Reconstr Surg;34(1):e19-e21, 2018 Jan/Feb.
[Is] ISSN:1537-2677
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The authors describe, for the first time to their knowledge, a case of a congenital macrocystic lymphatic malformation of the orbit with associated venous stasis retinopathy that acutely normalized after drainage and sclerotherapy of the lesion. Prenatal ultrasound revealed prominence of the left orbital soft tissue, and at birth, the patient was noted to have unilateral proptosis, tortuous retinal vessels, and intraretinal hemorrhages in all 4 quadrants in the left eye. MRI demonstrated a primarily intraconal, multiloculated, T2-hyperintense mass consistent with a lymphatic malformation. Ultrasound-guided cyst aspiration and sclerotherapy was performed, with subsequent improvement of the proptosis and resolution of the vessel tortuosity and intraretinal hemorrhages. Although venous stasis retinopathy is usually related to central retinal vein occlusion or carotid artery occlusive disease, any entity that increases orbital venous resistance can generate retinal venous dilation and intraretinal hemorrhages, including an orbital lymphatic malformation.
[Mh] Termos MeSH primário: Anormalidades Linfáticas/tratamento farmacológico
Doenças Orbitárias/tratamento farmacológico
Recuperação de Função Fisiológica
Doenças Retinianas/induzido quimicamente
Veia Retiniana/fisiopatologia
Soluções Esclerosantes/efeitos adversos
Escleroterapia/efeitos adversos
[Mh] Termos MeSH secundário: Dexametasona/administração & dosagem
Feminino
Seguimentos
Glucocorticoides/administração & dosagem
Seres Humanos
Recém-Nascido
Injeções Intravenosas
Anormalidades Linfáticas/diagnóstico
Anormalidades Linfáticas/cirurgia
Imagem por Ressonância Magnética
Doenças Orbitárias/congênito
Doenças Orbitárias/cirurgia
Paracentese/métodos
Fluxo Sanguíneo Regional/fisiologia
Doenças Retinianas/diagnóstico
Doenças Retinianas/tratamento farmacológico
Cirurgia Assistida por Computador/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Glucocorticoids); 0 (Sclerosing Solutions); 7S5I7G3JQL (Dexamethasone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/IOP.0000000000000975


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[PMID]:29365381
[Au] Autor:Zhou YQ; Li C; Shui CY; Cai YC; Sun RH; Zeng DF; Wang W; Li QL; Huang L; Tu J; Jiang J
[Ad] Endereço:Graduate School, Chengdu Medical College, Chengdu 646000, China.
[Ti] Título:[Application of virtual reality in surgical treatment of complex head and neck carcinoma].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;53(1):49-52, 2018 Jan 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To investigate the application of virtual reality technology in the preoperative evaluation of complex head and neck carcinoma and he value of virtual reality technology in surgical treatment of head and neck carcinoma. The image data of eight patients with complex head and neck carcinoma treated from December 2016 to May 2017 was acquired. The data were put into virtual reality system to built the three-dimensional anatomical model of carcinoma and to created the surgical scene. The process of surgery was stimulated by recognizing the relationship between tumor and surrounding important structures. Finally all patients were treated with surgery. And two typical cases were reported. With the help of virtual reality, surgeons could adequately assess the condition of carcinoma and the security of operation and ensured the safety of operations. Virtual reality can provide the surgeons with the sensory experience in virtual surgery scenes and achieve the man-computer cooperation and stereoscopic assessment, which will ensure the safety of surgery. Virtual reality has a huge impact on guiding the traditional surgical procedure of head and neck carcinoma.
[Mh] Termos MeSH primário: Carcinoma/cirurgia
Neoplasias de Cabeça e Pescoço/cirurgia
Cirurgia Assistida por Computador/métodos
Realidade Virtual
[Mh] Termos MeSH secundário: Seres Humanos
Interface Usuário-Computador
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2018.01.011


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[PMID]:28464747
[Au] Autor:Bertholet J; Worm E; Høyer M; Poulsen P
[Ad] Endereço:a Department of Oncology , Aarhus University Hospital , Aarhus , Denmark.
[Ti] Título:Cone beam CT-based set-up strategies with and without rotational correction for stereotactic body radiation therapy in the liver.
[So] Source:Acta Oncol;56(6):860-866, 2017 Jun.
[Is] ISSN:1651-226X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Accurate patient positioning is crucial in stereotactic body radiation therapy (SBRT) due to a high dose regimen. Cone-beam computed tomography (CBCT) is often used for patient positioning based on radio-opaque markers. We compared six CBCT-based set-up strategies with or without rotational correction. MATERIAL AND METHODS: Twenty-nine patients with three implanted markers received 3-6 fraction liver SBRT. The markers were delineated on the mid-ventilation phase of a 4D-planning-CT. One pretreatment CBCT was acquired per fraction. Set-up strategy 1 used only translational correction based on manual marker match between the CBCT and planning CT. Set-up strategy 2 used automatic 6 degrees-of-freedom registration of the vertebrae closest to the target. The 3D marker trajectories were also extracted from the projections and the mean position of each marker was calculated and used for set-up strategies 3-6. Translational correction only was used for strategy 3. Translational and rotational corrections were used for strategies 4-6 with the rotation being either vertebrae based (strategy 4), or marker based and constrained to ±3° (strategy 5) or unconstrained (strategy 6). The resulting set-up error was calculated as the 3D root-mean-square set-up error of the three markers. The set-up error of the spinal cord was calculated for all strategies. RESULTS: The bony anatomy set-up (2) had the largest set-up error (5.8 mm). The marker-based set-up with unconstrained rotations (6) had the smallest set-up error (0.8 mm) but the largest spinal cord set-up error (12.1 mm). The marker-based set-up with translational correction only (3) or with bony anatomy rotational correction (4) had equivalent set-up error (1.3 mm) but rotational correction reduced the spinal cord set-up error from 4.1 mm to 3.5 mm. CONCLUSIONS: Marker-based set-up was substantially better than bony-anatomy set-up. Rotational correction may improve the set-up, but further investigations are required to determine the optimal correction strategy.
[Mh] Termos MeSH primário: Tomografia Computadorizada de Feixe Cônico/métodos
Tomografia Computadorizada Quadridimensional/métodos
Neoplasias Hepáticas/diagnóstico por imagem
Neoplasias/diagnóstico por imagem
Radiocirurgia/métodos
Planejamento da Radioterapia Assistida por Computador/métodos
Erros de Configuração em Radioterapia/prevenção & controle
[Mh] Termos MeSH secundário: Fracionamento de Dose
Seres Humanos
Neoplasias Hepáticas/secundário
Neoplasias Hepáticas/cirurgia
Neoplasias/patologia
Neoplasias/cirurgia
Órgãos em Risco/efeitos da radiação
Posicionamento do Paciente
Dosagem Radioterapêutica
Radioterapia de Intensidade Modulada/métodos
Respiração
Cirurgia Assistida por Computador/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1080/0284186X.2017.1288925


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[PMID]:28468162
[Au] Autor:Seok H; Kim SG; Park YW; Lee YC
[Ad] Endereço:*Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Gangneung †Department of Oral and Maxillofacial Surgery, Bestian Seoul Hospital, Gangnam-gu, South Korea.
[Ti] Título:Postoperative Three-Dimensional Evaluation of Mandibular Contouring Surgery Using Computer-Assisted Simulation Planning and a Three-Dimensional-Printed Surgical Guide.
[So] Source:J Craniofac Surg;28(3):768-770, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mandibular contouring surgery was performed using computer-assisted simulation planning (CASP) and 3-dimensional printed surgical guide. The outcome of the surgery was evaluated by overlapping preoperative image. The patient underwent mandibular contouring surgery according to CASP for his residual facial asymmetry of the mandibular angle and mental area. The overall facial aesthetic of the patient was improved. In the overlapping image, the left mandibular border area was slightly overcorrected. However, the other portion was operated as planned. The overcorrection was due to the improper adaptation of the surgical guide adjacent to the mental foramen. In conclusion, usage of CASP and a surgical guide could reduce operation time and increase the accuracy of the operation. However, the design of the stent should be improved around the mental foramen to avoid nerve damage and improper adaptation.
[Mh] Termos MeSH primário: Simulação por Computador
Projeto Auxiliado por Computador
Tomografia Computadorizada de Feixe Cônico/métodos
Assimetria Facial/cirurgia
Imagem Tridimensional/métodos
Mandíbula/cirurgia
Cirurgia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Assimetria Facial/diagnóstico por imagem
Seguimentos
Seres Humanos
Masculino
Mandíbula/diagnóstico por imagem
Período Pós-Operatório
Fatores de Tempo
Interface Usuário-Computador
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003442


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[PMID]:28468161
[Au] Autor:Hatamleh MM; Yeung E; Osher J; Huppa C
[Ad] Endereço:*Cranio-Maxillofacial Prosthetics Unit, King's College Hospital NHS Foundation Trust †King's College Hospital NHS Foundation Trust, London, UK.
[Ti] Título:Novel Treatment Planning of Hemimandibular Hyperplasia by the Use of Three-Dimensional Computer-Aided-Design and Computer-Aided-Manufacturing Technologies.
[So] Source:J Craniofac Surg;28(3):764-767, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE AND AIM: Hemimandibular hyperplasia is characterized by an obvious overgrowth in the size of the mandible on one side, which can extend up to the midline causing facial asymmetry. Surgical resection of the overgrowth depends heavily on the skill and experience of the surgeon. This report describes a novel methodology of applying three-dimensional computer-aided-design and computer-aided-manufacturing principles in improving the outcome of surgery in 2 mandibular hyperplasia patients. METHODOLOGY: Both patients had their cone beam computer tomography (CBCT) scan performed. CMF Pro Plan software (v. 2.1) was used to process the scan data into virtual 3-dimensional models of the maxilla and mandible. Head tilt was adjusted manually by following horizontal reference. Facial asymmetry secondary to mandibular hypertrophy was obvious on frontal and lateral views. Simulation functions were followed including mirror imaging of the unaffected mandibular side into the hyperplastic side and position was optimized by translation and orientation functions. Reconstruction of virtual symmetry was assessed and checked by running 3-dimensional measurements. Then, subtraction functions were used to create a 3-dimensional template defining the outline of the lower mandibular osteotomy needed. Precision of mandibular teeth was enhanced by amalgamating the CBCT scan with e-cast scan of the patient lower teeth. 3-Matic software (v. 10.0) was used in designing cutting guide(s) that define the amount of overgrowth to be resected. The top section of the guide was resting on the teeth hence ensuring stability and accuracy while positioning it. The guide design was exported as an .stl file and printed using in-house 3-dimensional printer in biocompatible resin. CONCLUSION: Three-dimensional technologies of both softwares (CMF Pro Plan and 3-Matic) are accurate and reliable methods in the diagnosis, treatment planning, and designing of cutting guides that optimize surgical correction of hemimandibular hyperplasia at timely and cost-effect manner.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Assimetria Facial/cirurgia
Imagem Tridimensional/métodos
Mandíbula/cirurgia
Reconstrução Mandibular/métodos
Planejamento de Assistência ao Paciente
Cirurgia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Tomografia Computadorizada de Feixe Cônico/métodos
Feminino
Seres Humanos
Hiperplasia/patologia
Mandíbula/diagnóstico por imagem
Impressão Tridimensional
Software
Interface Usuário-Computador
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003438


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[PMID]:27778059
[Au] Autor:Kenngott HG; Wagner M; Preukschas AA; Müller-Stich BP
[Ad] Endereço:Abteilung für Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum der Universität Heidelberg, Chirurgische Universitätsklinik, Universität Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.
[Ti] Título:[Intelligent operating room suite : From passive medical devices to the self-thinking cognitive surgical assistant].
[Ti] Título:Der intelligente Operationssaal : Vom passiven Gerätepark zum mitdenkenden, kognitiven Assistenten..
[So] Source:Chirurg;87(12):1033-1038, 2016 Dec.
[Is] ISSN:1433-0385
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Modern operating room (OR) suites are mostly digitally connected but until now the primary focus was on the presentation, transfer and distribution of images. Device information and processes within the operating theaters are barely considered. Cognitive assistance systems have triggered a fundamental rethinking in the automotive industry as well as in logistics. In principle, tasks in the OR, some of which are highly repetitive, also have great potential to be supported by automated cognitive assistance via a self-thinking system. This includes the coordination of the entire workflow in the perioperative process in both the operating theater and the whole hospital. With corresponding data from hospital information systems, medical devices and appropriate models of the surgical process, intelligent systems could optimize the workflow in the operating theater in the near future and support the surgeon. Preliminary results on the use of device information and automatically controlled OR suites are already available. Such systems include, for example the guidance of laparoscopic camera systems. Nevertheless, cognitive assistance systems that make use of knowledge about patients, processes and other pieces of information to improve surgical treatment are not yet available in the clinical routine but are urgently needed in order to automatically assist the surgeon in situation-related activities and thus substantially improve patient care.
[Mh] Termos MeSH primário: Salas Cirúrgicas/métodos
Salas Cirúrgicas/organização & administração
[Mh] Termos MeSH secundário: Processamento Automatizado de Dados/métodos
Processamento Automatizado de Dados/organização & administração
Seres Humanos
Laparoscopia/instrumentação
Laparoscopia/métodos
Monitorização Intraoperatória/instrumentação
Monitorização Intraoperatória/métodos
Sistemas de Informação em Salas Cirúrgicas/organização & administração
Software
Cirurgia Assistida por Computador/instrumentação
Cirurgia Assistida por Computador/métodos
Equipamentos Cirúrgicos/normas
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE



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