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The Surgeon's Contribution to Image-Guided Oncology
Christoph Benckert1, Christiane Bruns1
1Deutsche Akademie für Mikrotherapie (DAfMT)/International School of Image-Guided Interventions, Magdeburg, Germany ; Department of Surgery, University of Magdeburg, Magdeburg, Germany.
Viszeralmedizin
|August 20, 2015
Summary
Intraoperative imaging and 3D computer-assisted planning are crucial for complex laparoscopic liver surgery. New fluorescent imaging strategies enhance liver segment identification during these procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Medical Imaging
Background:
- Surgical and imaging technologies enable complex tumor resections.
- Preoperative imaging, like 3D computer-assisted planning (3D-CASP), is refined.
- Intraoperative imaging and image guidance techniques are increasingly used in hybrid operating rooms.
Purpose of the Study:
- To review recent advances in intraoperative image guidance.
- To delineate the role of intraoperative imaging in laparoscopic liver surgery.
- To highlight the importance of 3D imaging for liver surgeons.
Main Methods:
- Review of recent advances in intraoperative image guidance.
- Delineation of intraoperative ultrasound and computed tomography for real-time guidance in laparoscopic liver surgery.
- Description of 3D-CASP's role in preoperative surgical planning.
Main Results:
- Advances in intraoperative imaging correlate with increased laparoscopic visceral surgery.
- 3D imaging and intraoperative guidance are essential for laparoscopic liver surgery due to loss of tactile sensation and complex anatomy.
- 3D-CASP plays a significant role in preoperative planning for liver surgery.
Conclusions:
- Intraoperative imaging is indispensable for safe and oncologically sound laparoscopic liver surgery.
- A novel fluorescent imaging method is proposed for identifying liver segments during laparoscopic liver surgery.
Keywords:
3D-CASPAugmented realityComputed tomographyFluorescent imagingHybrid operating roomIOUSImage guidanceIntraoperative ultrasoundLaparoscopic liver surgeryMagnetic resonance imagingThree-dimensional computer-assisted surgical planning
