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Updated: Dec 28, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Image-guided surgery and craniofacial applications: mastering the unseen
James C Wang1,2, Laszlo Nagy3, Joshua C Demke4
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX USA.
Image-guided surgery offers benefits for complex craniofacial cases, serving as an excellent teaching tool. While initial costs are high, recurring expenses are low, enhancing surgical visualization and safety.
Area of Science:
- Neurosurgery
- Craniofacial Surgery
- Medical Technology
Background:
- Image-guided surgery (IGS) can improve safety in craniomaxillofacial procedures.
- This study evaluates an intraoperative navigation system in a complex pediatric case.
- Traditional osteotomies rely on anatomical knowledge and tactile feedback.
Observation:
- A 13-year-old patient with syndromic multi-suture synostosis, brachycephaly, severe exorbitism, and midface hypoplasia was treated.
- The efficiency, costs, and challenges of using IGS were analyzed.
- IGS was compared to traditional surgical methods.
Findings:
- Initial costs for IGS are substantial, but recurring costs are manageable.
- IGS provides significant educational benefits by visualizing complex anatomy.
- The system offers multi-planar, real-time imaging for enhanced surgical guidance.
Implications:
- IGS demonstrates potential for improving outcomes in complex craniofacial reconstructions.
- The technology serves as a valuable teaching tool for surgical trainees.
- Further adoption of IGS may enhance intraoperative precision and patient safety.
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