Computer-assisted abdominal surgery: new technologies

Kenngott, Hannes; Wagner, Martin; Nickel, Felix; Wekerle, Anna-Laura; Preukschas, Anas; Apitz, Martin; Schulte, Thilo; Rempel, Rudolf; Mietkowski, Patrick; Wagner, Fabienne Louise; Termer, Andreas; Müller‐Stich, Beat P.

doi:10.1007/s00423-015-1289-8

Cited by 60 publications

(25 citation statements)

References 66 publications

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“…This study stems from the belief that in order for image guidance to become integrated into the surgical workflow, all of the domains involved with image guidance systems need to be observed, not just clinical outcomes. The time period selected for inclusion was only between 2000 and 2016; the year 2000 was adopted because image guidance publications saw a rapid rise in number with regard image guidance development and application from this year [2, 14, 15]. Publications were selected using title search only.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the impact of image guidance in the surgical setting: a systematic review

et al. 2019

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Background Image guidance has been clinically available for over a period of 20 years. Although research increasingly has a translational emphasis, overall the clinical uptake of image guidance systems in surgery remains low. The objective of this review was to establish the metrics used to report on the impact of surgical image guidance systems used in a clinical setting. Methods A systematic review of the literature was carried out on all relevant publications between January 2000 and April 2016. Ovid MEDLINE and Embase databases were searched using a title strategy. Reported outcome metrics were grouped into clinically relevant domains and subsequent sub-categories for analysis. Results In total, 232 publications were eligible for inclusion. Analysis showed that clinical outcomes and system interaction were consistently reported. However, metrics focusing on surgeon, patient and economic impact were reported less often. No increase in the quality of reporting was observed during the study time period, associated with study design, or when the clinical setting involved a surgical specialty that had been using image guidance for longer. Conclusions Publications reporting on the clinical use of image guidance systems are evaluating traditional surgical outcomes and neglecting important human and economic factors, which are pertinent to the uptake, diffusion and sustainability of image-guided surgery. A framework is proposed to assist researchers in providing comprehensive evaluation metrics, which should also be considered in the design phase. Use of these would help demonstrate the impact in the clinical setting leading to increased clinical integration of image guidance systems. Electronic supplementary material The online version of this article (10.1007/s00464-019-06876-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Evaluating the impact of image guidance in the surgical setting: a systematic review

et al. 2019

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“…The core of this system is the computer navigation unit, incorporating special software tools [18,19]. This unit is connected with an optical tracking camera and LED trackers: an LED is attached to the image source, which is the C-arm, and another LED is attached to the surgical instrument and a monitor [20,21].…”

Section: Essential Components and Types Of Caos Systemsmentioning

confidence: 99%

Recent Trends, Technical Concepts and Components of Computer-Assisted Orthopedic Surgery Systems: A Comprehensive Review

Kubíček

Tomanec

Černý

et al. 2019

Sensors

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Computer-assisted orthopedic surgery (CAOS) systems have become one of the most important and challenging types of system in clinical orthopedics, as they enable precise treatment of musculoskeletal diseases, employing modern clinical navigation systems and surgical tools. This paper brings a comprehensive review of recent trends and possibilities of CAOS systems. There are three types of the surgical planning systems, including: systems based on the volumetric images (computer tomography (CT), magnetic resonance imaging (MRI) or ultrasound images), further systems utilize either 2D or 3D fluoroscopic images, and the last one utilizes the kinetic information about the joints and morphological information about the target bones. This complex review is focused on three fundamental aspects of CAOS systems: their essential components, types of CAOS systems, and mechanical tools used in CAOS systems. In this review, we also outline the possibilities for using ultrasound computer-assisted orthopedic surgery (UCAOS) systems as an alternative to conventionally used CAOS systems.

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“…The high prices are due to the complexity of the technology, as well as to biocompatibility, maintenance and sterilisation issues 60–62. It is therefore difficult to justify such expenses for a technology that, even though it has the potential to improve surgical performance,63 64 does not yet seem to yield proven clinical benefits for the patients 65. Therefore, until costs decreases, it is not realistic to imagine a widespread diffusion of robotic MIS.…”

Section: Roboticsmentioning

confidence: 99%

“…This can prove fundamental for novices, and also for more experienced surgeons who have performed traditional surgery for years, and who, for this reason, may be even slower than new trainees to assimilate new techniques. Furthermore, as suggested by Kenngott et al, 63 personalised feedback and training can potentially be enhanced through the automatic detection and analysis of the surgeon's movements, in order to understand and improve the patterns in the workflow.…”

Section: Imagingmentioning

confidence: 99%

The role of technology in minimally invasive surgery: state of the art, recent developments and future directions

Tonutti

Elson

Yang

et al. 2016

Postgraduate Medical Journal

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The diffusion of minimally invasive surgery has thrived in recent years, providing substantial benefits over traditional techniques for a number of surgical interventions. This rapid growth has been possible due to significant advancements in medical technology, which partly solved some of the technical and clinical challenges associated with minimally invasive techniques. The issues that still limit its widespread adoption for some applications include the limited field of view; reduced manoeuvrability of the tools; lack of haptic feedback; loss of depth perception; extended learning curve; prolonged operative times and higher financial costs. The present review discusses some of the main recent technological advancements that fuelled the uptake of minimally invasive surgery, focussing especially on the areas of imaging, instrumentation, cameras and robotics. The current limitations of state-of-the-art technology are identified and addressed, proposing future research directions necessary to overcome them

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Computer-assisted abdominal surgery: new technologies

Cited by 60 publications

References 66 publications

Evaluating the impact of image guidance in the surgical setting: a systematic review

Evaluating the impact of image guidance in the surgical setting: a systematic review

Recent Trends, Technical Concepts and Components of Computer-Assisted Orthopedic Surgery Systems: A Comprehensive Review

The role of technology in minimally invasive surgery: state of the art, recent developments and future directions

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