Advances in image guided conventional and minimal invasive liver surgery

Area of Science:

• Hepatobiliary surgery
• Surgical oncology
• Medical technology

Background:

• Significant advancements in perioperative medicine and scientific research have improved outcomes for major liver surgery.
• Increasing complexity of liver resections involves extended tumor spread and reduced remnant liver volume, pushing the boundaries of resectability.
• Technological innovations are crucial for managing these complex oncological liver cases.

Purpose of the Study:

• To provide an overview of current developments in image-guided liver surgery.
• To discuss the challenges and future directions of computer-based planning and navigation in liver surgery.
• To highlight the role of technology in improving oncological safety and precision in liver resections.

Main Methods:

• Review of current technological developments in liver surgery, including 3D liver models and navigation systems.
• Evaluation of the clinical implementation and ongoing research into various intraoperative navigation techniques.
• Discussion of the difficulties and future prospects associated with image-guided liver surgery.

Main Results:

• Three-dimensional (3D) liver models are commercially available and clinically implemented.
• Intraoperative navigation systems are under active evaluation using diverse methodologies.
• Technological integration aims to support oncologically sound and safe liver surgery.

Conclusions:

• Image-guided liver surgery, utilizing preoperative planning and intraoperative navigation, holds significant promise for complex cases.
• Continued research and development are essential to overcome current difficulties and optimize these technologies.
• The future of liver surgery is increasingly reliant on advanced imaging and navigation for improved patient outcomes.