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Novel 3-dimensional virtual hepatectomy simulation combined with real-time deformation
Yukio Oshiro1, Hiroaki Yano1, Jun Mitani1
1Yukio Oshiro, Hiroaki Yano, Jun Mitani, Sangtae Kim, Jaejeong Kim, Kiyoshi Fukunaga, Nobuhiro Ohkohchi, Department of Surgery, Division of Gastroenterological and Hepatobiliary Surgery and Organ Transplantation, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan.
This study introduces Liversim, a novel 3D virtual hepatectomy simulation software. Liversim enables real-time liver deformation visualization, proving useful for safe hepatectomies and surgical education.
Area of Science:
- Medical Simulation
- Surgical Technology
- Hepatobiliary Surgery
Background:
- Virtual hepatectomy aids surgical planning.
- Real-time simulation of liver deformation is crucial for accurate hepatectomy.
- Existing software may lack advanced visualization capabilities.
Purpose of the Study:
- To develop and evaluate Liversim, a novel 3D virtual hepatectomy simulation software.
- To visualize real-time liver deformation during virtual hepatectomy.
- To assess Liversim's utility in surgical education and planning.
Main Methods:
- Development of Liversim software with functions for 3D model viewing, manipulation, and virtual incision.
- Comparison of perioperative outcomes between Liversim and SYNAPSE VINCENT in virtual hepatectomies.
- Evaluation of Liversim by medical students and surgical residents via questionnaires.
Main Results:
- No significant discrepancies were observed between Liversim simulations and actual hepatectomies.
- No significant differences in operating time, intraoperative bleeding, or postoperative stay between Liversim and SYNAPSE VINCENT.
- Liversim was not clinically inferior to SYNAPSE VINCENT, with users reporting realistic image fidelity.
Conclusions:
- Liversim provides a valuable tool for virtual hepatectomy simulation.
- The software facilitates the safe performance of hepatectomies through real-time deformation visualization.
- Liversim serves as an effective aid for surgical education and training in hepatectomy.

