scholarly journals 3D mixed-reality visualization of medical imaging data as a supporting tool for innovative, minimally invasive surgery for gastrointestinal tumors and systemic treatment as a new path in personalized treatment of advanced cancer diseases

2021 ◽  
Author(s):  
Ryszard Wierzbicki ◽  
Maria Pawłowicz ◽  
Józefa Job ◽  
Robert Balawender ◽  
Wojciech Kostarczyk ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Mixed Reality ◽  
Systemic Treatment ◽  
Irreversible Electroporation ◽  
Gastrointestinal Tumors ◽  
Personalized Treatment ◽  
Imaging Data ◽  
Supporting Tool

Abstract Background The purpose of this study was to investigate the potential of a combination of 3D mixed-reality visualization of medical images using CarnaLife Holo (MedApp, Poland) system as a supporting tool for innovative, minimally invasive surgery/irreversible electroporation—IRA, Nano-Knife), microwave ablation (MWA)/for advanced gastrointestinal tumors. Eight liver and pancreatic tumor treatments were performed. In all of the patients undergoing laparoscopy or open surgery volume and margin were estimated by preoperative visualization. In all patients, neoplastic lesions were considered unresectable by standard methods. Methods Preoperative CT or MRI were transformed into holograms and displayed thanks to the HoloLens 2. During operation, the surgeon’s field of view was augmented with a 3D model of the patient’s relevant structures. Results The intraoperative hologram contributed to better presentation of tumor size and locations, more precise setting of needles used to irreversible electroporation and for determining ablation line in case of liver metastases. Surgeons could easily compare the real patient's anatomy to holographic visualization just before the operations. Conclusions The combination of 3D mixed-reality visualization using CarnaLife Holo with IRA, MWA and next systemic treatment (chemotherapy) might be a new way in personalized treatment of advanced cancers.

Utilisation of the HoloLens mixed-reality device in minimally invasive surgery

2019 ◽  
Vol 18 (1) ◽  
pp. e676-e677
Author(s):  
H.F. Al Janabi ◽  
A. Aydin ◽  
S. Palaneer ◽  
N. Macchione ◽  
A. Al-Jabir ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Mixed Reality

scholarly journals Effectiveness of the HoloLens mixed-reality headset in minimally invasive surgery: a simulation-based feasibility study

2019 ◽  
Vol 34 (3) ◽  
pp. 1143-1149 ◽  
Author(s):  
Hasaneen Fathy Al Janabi ◽  
Abdullatif Aydin ◽  
Sharanya Palaneer ◽  
Nicola Macchione ◽  
Ahmed Al-Jabir ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Feasibility Study ◽  
Invasive Surgery ◽  
Mixed Reality ◽  
Simulation Based

scholarly journals A mixed-reality surgical trainer with comprehensive sensing for fetal laser minimally invasive surgery

2018 ◽  
Vol 13 (12) ◽  
pp. 1949-1957 ◽  
Author(s):  
Allan Javaux ◽  
David Bouget ◽  
Caspar Gruijthuijsen ◽  
Danail Stoyanov ◽  
Tom Vercauteren ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Mixed Reality

scholarly journals Application of Mixed Reality in Medical Training and Surgical Planning Focused on Minimally Invasive Surgery

2021 ◽  
Vol 2 ◽  
Author(s):  
Juan A. Sánchez-Margallo ◽  
Carlos Plaza de Miguel ◽  
Roberto A. Fernández Anzules ◽  
Francisco M. Sánchez-Margallo
Keyword(s):  
Minimally Invasive Surgery ◽  
Clinical Practice ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Surgical Planning ◽  
Mixed Reality ◽  
Preoperative Planning ◽  
Medical Training ◽  
Preoperative Imaging ◽  
Planning Tool

Introduction: Medical training is a long and demanding process, in which the first stages are usually based on two-dimensional, static, and unrealistic content. Conversely, advances in preoperative imaging have made it an essential part of any successful surgical procedure. However, access to this information often requires the support of an assistant and may compromise sterility in the surgical process. Herein, we present two solutions based on mixed reality that aim to improve both training and planning in minimally invasive surgery.Materials and Methods: Applications were developed for the use of the Microsoft HoloLens device. The urology training application provided access to a variety of anatomical and surgical training contents. Expert urological surgeons completed a questionnaire to evaluate its use. The surgical planning solution was used during laparoscopic renal tumorectomy in an experimental model and video-assisted right upper lobectomy in an adult patient. Surgeons reported their experience using this preoperative planning tool for surgery.Results: The solution developed for medical training was considered a useful tool for training in urological anatomy, facilitating the translation of this knowledge to clinical practice. Regarding the solution developed for surgical planning, it allowed surgeons to access the patient’s clinical information in real-time, such as preoperative imaging studies, three-dimensional surgical planning models, or medical history, facilitating the surgical approach. The surgeon’s view through the mixed reality device was shared with the rest of the surgical team.Conclusions: The mixed reality-based solution for medical training facilitates the transfer of knowledge into clinical practice. The preoperative planning tool for surgery provides real-time access to essential patient information without losing the sterility of the surgical field. However, further studies are needed to comprehensively validate its clinical application.

V1695: Minimizing Minimally Invasive Surgery: the Three Port Robotic Pyeloplasty

2004 ◽  
Vol 171 (4S) ◽  
pp. 448-448
Author(s):  
Farjaad M. Siddiq ◽  
Patrick Villicana ◽  
Raymond J. Leveillee
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Robotic Pyeloplasty
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