Augmented Reality Navigation Surgery Facilitates Laparoscopic Rescue of Failed Portal Vein Embolization
Augmented Reality Navigation Surgery Facilitates Laparoscopic Rescue of Failed Portal Vein Embolization
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DOI：
10.1016/j.jamcollsurg.2016.06.392
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发表时间：
2016-10-01
影响因子：
5.2
通讯作者：
Gayet, Brice
中科院分区：
文献类型：
--
作者：
Conrad, Claudius;Fusaglia, Matteo;Gayet, Brice
背景尽管肝脏微创手术（MIS）非常复杂，但目前临床实践中没有系统能够增强数字化腹腔镜视图以促进手术。1此外，目前使用的所有机器人手术都通过提供“远程操作”（外科医生远离患者进行手术）来促进MIS，而无需在患者和手术外科医生之间创建自动增强界面（增强现实，AR）。然而，增强现实技术可以帮助克服腹腔镜手术的困难，特别是高级腹腔镜肝脏手术：深度感知的丧失，肝脏三维（3D）空间中的空间理解和触觉反馈减少，以及复杂的3D解剖结构没有明显的外部标志。三，四
BACKGROUNDDespite the complexity of minimally invasive surgery (MIS) of the liver, no system in clinical practice today enhances the digitalized laparoscopic view to facilitate the surgery. 1 In addition, all robotic surgery currently in use facilitates MIS by providing “tele-manipulation”(the surgeons performs the surgery remotely from the patient), without creation of an automatically enhanced interface (augmented reality, AR) between the patient and the operating surgeon. 2 Augmented reality, however, could help to overcome the difficulties of laparoscopic surgery in general and advanced laparoscopic liver surgery specifically: loss of depth perception, decreased spatial understanding and tactile feedback in the 3-dimensional (3D) space of the liver, and complicated 3D anatomy without significant outward landmarks. 3, 4