Intraoperative holography navigation using a mixed-reality wearable computer during laparoscopic cholecystectomy

Area of Science:

• Surgical Technology
• Medical Imaging
• Minimally Invasive Surgery

Background:

• Mixed-reality (MR) technology presents 3D holographic images in surgical settings via wearable devices.
• This technology aims to enhance surgical visualization and navigation.

Purpose of the Study:

• To evaluate the safety and efficacy of using a holography-guided navigation system for laparoscopic cholecystectomy.
• To compare surgical outcomes between MR-guided 3D models and conventional 2D imaging.

Main Methods:

• A prospective observational study involving 27 patients undergoing laparoscopic cholecystectomy.
• Nine patients received 3D model navigation via MR devices; 18 used conventional 2D images.
• Surgical outcomes (operative time, blood loss, complications) and subjective surgeon feedback were assessed.

Main Results:

• Median operative time was longer with 3D models (74.0 min) compared to 2D images (58.0 min).
• No intraoperative blood loss or perioperative complications were reported in either group.
• Surgeon experience influenced the perceived difficulty of using 3D models.

Conclusions:

• Laparoscopic cholecystectomy using 3D models via MR technology is feasible.
• The effectiveness of this advanced navigation system may be influenced by the surgeon's level of experience.