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Generic surgical process model for minimally invasive liver treatment methods
Maryam Gholinejad1, Egidius Pelanis2,3, Davit Aghayan2,4
1Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands. m.gholinejad-1@tudelft.nl.
Scientific Reports
|October 6, 2022
Summary
This study introduces a generic surgical process model for Minimally Invasive Liver Treatments (MILTs). This model aids in quantitative analysis and simulation for improving surgical systems, training, and technology evaluation.
Area of Science:
- Medical Engineering
- Surgical Innovation
- Health Informatics
Background:
- Surgical process modelling offers quantitative analysis to improve surgical activities.
- Minimally Invasive Liver Treatments (MILTs) present unique challenges in surgical planning and execution.
- Standardized models are needed for analyzing and optimizing diverse MILT procedures.
Purpose of the Study:
- To develop a generic surgical process model applicable to various MILTs, such as ablation and resection.
- To establish a foundational model for quantitative analysis and simulation of MILT procedures.
- To enhance computer-assisted surgery, surgeon training, guidance, and technology evaluation.
Main Methods:
- Application of surgical process modelling strategies to analyze MILTs.
- Development of a generic surgical process model at three granularity levels.
- Verification of the model against MILT procedure videos and surgeon interviews.
Main Results:
- A thirteen-phase generic surgical process model for MILTs was established.
- The model encompasses all surgical and interventional activities and their interconnections.
- The model was validated through empirical observation and expert consultation.
Conclusions:
- The generic surgical process model provides a robust framework for quantitative analysis and simulation of MILTs.
- This model supports advancements in computer-assisted surgery, surgeon education, and performance evaluation.
- It serves as a basis for assessing novel technologies in liver surgery.

