Holographic image-guided thoracoscopic surgery: possibility of usefulness for esophageal cancer patients with abnormal artery

Sato, Yuta; Sugimoto, Maki; Tanaka, Yoshihiro; Suetsugu, Tomonari; Imai, Takeharu; Hatanaka, Yuji; Matsuhashi, Nobuhisa; Takahashi, Tsuyoshi; Yamaguchi, Kazuya; Yoshida, Kazuhiro

doi:10.1007/s10388-020-00737-6

Cited by 13 publications

(9 citation statements)

References 7 publications

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“…However, most previous studies have classified the bifurcation patterns of the superior and inferior mesenteric arteries from the main trunk, and no study has examined internal and external iliac arteries within the pelvic anatomy. The colorectal anatomy is not fixed due to its inherent organ specificity, and there can be a large difference in anatomical positioning depending on the angle of the obtained image [8]. Therefore, even if the central branches of the superior and inferior mesenteric arteries can be determined by preoperative image evaluation, identification of the peripheral vessels may not be as effective in preoperative simulations because of the movement of the intestines during the actual operation [9].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the SYNAPSE VINCENT for lateral lymph node dissection in rectal cancer with robotic surgery: a preliminary report

et al. 2022

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Background Even if 3D angiographic images of preoperative contrast-enhanced computed tomography (CT) are created, the coronal and axial sections can be unclear, and thus, it is difficult to achieve projection awareness similar to that of actual laparoscopic images. In recent years, the technology of analyzing and applying medical images has advanced, and surgical simulation and navigation have been widely used to improve the safety of surgical operations. It is important to understand pelvic anatomy in the area of rectal cancer, and use of the SYNAPSE VINCENT makes it possible to simulate the anatomy before surgery, which is very useful in educating surgeons and their assistants. Materials and methods An important objective in surgery is to understand the anatomy of the external/internal iliac arteries and lymph nodes in lateral lymph node dissection (LLD) for rectal cancer. In this study, we explored the accuracy and usefulness of SYNAPSE VINCENT images of pelvic anatomy (especially vascular anatomy) analyzed preoperatively in two cases of LLD for rectal cancer in our department. Results The patients were two men aged 73 and 57 years, respectively. Both patients underwent robotic abdominal perineal resection and LLD with neoadjuvant chemoradiotherapy. The operating times for LLD were 138 and 106 min, estimated blood loss was less than 10 mL and 20 mL, and the harvested lymph nodes were nos. 21 and 22, respectively. The SYNAPSE VINCENT could be used for simulation and navigation before and during surgery. For experienced surgeons, the system helped them carry out operations more accurately. Conclusion In the future, surgical support using virtual reality, augmented reality, and mixed reality based on medical images will be useful and is expected to improve the safety, accuracy, and efficiency of surgery, which is extremely useful for both young and skilled surgeons preparing for difficult operations.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the SYNAPSE VINCENT for lateral lymph node dissection in rectal cancer with robotic surgery: a preliminary report

et al. 2022

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“…In recent years, the usefulness of navigation surgery using 3D in enhancing safety has been reported in various surgical fields. 11,12 In the present case, a 3D model was created preoperatively; the location of port insertion and surgical procedures were shared with the assistant and scopist. Furthermore, during the operation, a 3D model on the submonitor was referred to during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Left thoracoscopic surgery in the prone position for a bronchogenic cyst localized to the lower thoracic esophagus: A case report

Imai

Yamada

Nakashima

et al. 2022

Asian J Endoscop Surgery

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A 60‐year‐old woman with an abnormality discovered during a chest X‐ray was referred to the authors' hospital for diagnosis and treatment. Upon enhanced computed tomography (CT), endoscopic ultrasonography, and magnetic resonance imaging, a tumor on the left side of the lower thoracic esophagus was detected. We diagnosed mediastinum cyst. One year after the first visit, a CT examination confirmed an increase in lesion size. Therefore, surgery was performed using a left thoracoscopic approach in the prone position. Before surgery, 3D models were used for simulation. Excision was performed without leakage of the contents. The histopathological diagnosis was a bronchogenic cyst. The left thoracoscopic surgery in the prone position is an uncommon approach but is useful for resecting tumors in the left side of the lower mediastinum. The authors were well‐prepared and able to perform safe and reliable surgery.

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“…Pratt P et al reported that head-mount displays with installed MR techniques can confirm the location of the vascular pedunculated flaps, thus, minimizing the risk of hemorrhage from small veins (10). Sato et al reported that holographic image-guided thoracoscopic esophagectomy provided better spatial recognition of vascular variation, safer lymph node dissection (19), and enabled a safe Glissonean pedicle approach for cases of hepato-cellular carcinoma with a hilar anatomical anomaly (20). Philip et al reported that HoloLens enabled to perform surgery safely and reduced postoperative complications and, therefore, it can be used for surgical training and remote surgical support.…”

Section: Discussionmentioning

confidence: 99%

Mixed reality and three dimensional printed models for resection of maxillary tumor: a case report

Sugahara¹,

Koyachi²,

Koyama³

et al. 2021

Quant Imaging Med Surg

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In the field of oral and maxillofacial surgery, many institutions have recently begun using threedimensional printers to create three-dimensional models and mixed reality in a variety of diseases. Here, we report the actual situation model which we made using three-dimensional printer from virtual operation data and the resection that was performed while grasping a maxillary benign tumor and neighboring threedimensional structure by designing an application for Microsoft®︎ HoloLens, and using Mixed Reality surgery support during the procedure.

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Holographic image-guided thoracoscopic surgery: possibility of usefulness for esophageal cancer patients with abnormal artery

Cited by 13 publications

References 7 publications

Evaluation of the SYNAPSE VINCENT for lateral lymph node dissection in rectal cancer with robotic surgery: a preliminary report

Evaluation of the SYNAPSE VINCENT for lateral lymph node dissection in rectal cancer with robotic surgery: a preliminary report

Left thoracoscopic surgery in the prone position for a bronchogenic cyst localized to the lower thoracic esophagus: A case report

Mixed reality and three dimensional printed models for resection of maxillary tumor: a case report

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