Augmented reality navigation facilitates laparoscopic removal of foreign body in the pancreas that cause chronic complications

Lin, Jin-Yu; Tao, Haisu; Wang, Zhuangxiong; Chen, Rui; Chen, Yunlong; Lin, Wenjun; Li, Baihong; Fang, Chihua; Yang, Jian

doi:10.1007/s00464-022-09195-w

Cited by 8 publications

(2 citation statements)

References 20 publications

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“…This technology adds a certain number of virtual components and elements to a real space to make people Frontiers in Psychology frontiersin.org feel as though they have entered the virtual world (Zhang et al, 2022). This technology has been applied to laparoscopic surgery, arthroplasty, spine surgery, cranial surgery, oral and maxillofacial surgery, urology, and neuroanatomy, as well as to other fields (Han et al, 2022;Lin et al, 2022;Mendez-Lopez et al, 2022;Pojskić et al, 2022;Roberts et al, 2022;Sumdani et al, 2022;Tanzer et al, 2022). With further technological innovations, AR has begun to penetrate the routine tasks of ophthalmology in the same way as virtual reality (VR).…”

Section: Discussionmentioning

confidence: 99%

Study on the postoperative visual function recovery of children with concomitant exotropia based on an augmented reality plasticity model

Lv,

Zhong,

Yang

et al. 2023

Front. Psychol.

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ObjectiveThis study aimed to investigate the clinical application effect of an augmented reality (AR) plasticity model on the postoperative visual function recovery of children with concomitant exotropia.MethodsBetween September 2019 and October 2021, 28 patients with concomitant exotropia who visited Shenzhen Children’s Hospital (9 male and 19 female) were enrolled in this study. The average age of the patients was 6.4 ± 1.8 years. Postoperative rehabilitation training was conducted using a personalized AR binocular visual perception plasticity model developed based on the patient’s examination results. After 1 month, 3 months, and 6 months of training, the patients returned to the hospital for examinations of perceptual eye position, static zero-order stereopsis, dynamic first-order fine stereopsis, and dynamic second-order coarse stereopsis to compare the changes in eye position control and stereovision function.ResultsAfter 6 months of eye position training, the horizontal perception eye position of the 28 patients was significantly lower than that before training. The difference in eye position at the first and third months compared with that before training was not statistically significant (1st month: z = −2.255, p = 0.024 > 0.017; 3rd month: z = −2.277, p = 0.023 > 0.017; 6th month: z = −3.051, p = 0.002 < 0.017). The difference in vertical perceptual eye position after training compared with that before training was not statistically significant (1st month: z = −0.252, p = 0.801 > 0.017; 3rd month: z = −1.189, p = 0.234 > 0.017; 6th month: z = −2.225, p = 0.026 > 0.017). The difference in 0.8-m static zero-order stereopsis before and after training was not statistically significant (1st month: z = −2.111, p = 0.035 > 0.017; 3rd month: z = −1.097, p = 0.273 > 0.017; 6th month: z = −1.653, p = 0.098 > 0.017). The 1.5-m static zero-order stereopsis was improved after 1 month, 3 months, and 6 months of training compared with that before training (1st month: z = −3.134, p = 0.002 < 0.017; 3rd month: z = −2.835, p = 0.005 < 0.017; 6th month: z = −3.096, p = 0.002 < 0.017). Dynamic first-order fine stereopsis and dynamic second-order coarse stereopsis were measured in the 28 patients before and after training. Patients 1 and 18 had no dynamic first-order fine stereopsis before training, but both regained dynamic stereopsis after 1 month, 3 months, and 6 months of training. Patient 16 had no dynamic first-order fine stereopsis or dynamic second-order coarse stereopsis before training, but first-order and second-order stereopsis had been reconstructed after 1 month, 3 months, and 6 months of training.ConclusionConcomitant exotropia surgery improved the basic problem of eye position at the ocular muscle level, but the patient’s perceptual eye position and visual function defects at the brain visual level remained. This might partly explain the poor postoperative clinical effect. The AR plasticity model can improve patients’ horizontal perceptual eye position and multi-dimensional stereoscopic function, and its clinical effect warrants further study.

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Section: Discussionmentioning

confidence: 99%

Study on the postoperative visual function recovery of children with concomitant exotropia based on an augmented reality plasticity model

Lv,

Zhong,

Yang

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…The same year, Okamoto et al performed pancreatectomy in five cases using AR-based navigation (45). Later, whether it is hilar cholangiocarcinoma resection, removal of foreign body in the pancreas, or living donor liver transplantation, AR played an increasingly complex role, and its application was becoming more mature (46)(47)(48). Up to now, it can be said that HPB has no restricted area for AR anymore (49).…”

Section: Real-time Intraoperative Navigationmentioning

confidence: 99%

The application and prospection of augmented reality in hepato-pancreato-biliary surgery

Dai

Qiu

et al. 2023

BST

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Augmented Reality (AR) is one of the main forms of Extended Reality (XR) application in surgery. hepato-pancreato-biliary (HPB) surgeons could benefit from AR as an efficient tool for making surgical plans, providing intraoperative navigation, and enhancing surgical skills. The introduction of AR to HPB surgery is less than 30 years but brings profound influence. From the early days of projecting liver models on patients' surfaces for locating a better puncture point to today's assisting surgeons to perform live donor liver transplantation, a series of successful clinical practices have proved that AR can play a constructive role in HPB surgery and has great potential. Thus far, AR has been shown to increase efficiency and safety in surgical resection, and, at the same time, can improve oncological outcomes and reduce surgical risk. Although AR has presented admitted advantages in surgery, AR's application is still immature as an emerging technique and needs more exploration. In this paper, we reviewed the principles of AR and its developing history in HPB surgery, describing its significant practical applications over the past 30 years. Reviewing the past attempts of AR in HPB surgery could make HPB surgeons a better understanding of future surgery and the digital trends in medicine. The routine uses of AR in HPB surgery, as an indication of the operating room entering the new era, is coming soon.

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Laparoscopic right hemi-hepatectomy plus total caudate lobectomy for perihilar cholangiocarcinoma via anterior approach with augmented reality navigation: a feasibility study

Wang,

Tao,

Wang

et al. 2023

Surg Endosc

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Augmented reality navigation facilitates laparoscopic removal of foreign body in the pancreas that cause chronic complications

Cited by 8 publications

References 20 publications

Study on the postoperative visual function recovery of children with concomitant exotropia based on an augmented reality plasticity model

Study on the postoperative visual function recovery of children with concomitant exotropia based on an augmented reality plasticity model

The application and prospection of augmented reality in hepato-pancreato-biliary surgery

Laparoscopic right hemi-hepatectomy plus total caudate lobectomy for perihilar cholangiocarcinoma via anterior approach with augmented reality navigation: a feasibility study

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