2019
DOI: 10.4240/wjgs.v11.i1.1
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Up-to-date intraoperative computer assisted solutions for liver surgery

Abstract: Computer assisted surgical planning allowed for a better selection of patients, evaluation of operative strategy, appropriate volumetric measurements, identification of anatomical risks, definition of tumour resection margins and choice of surgical approach in liver oncologic resections and living donor liver transplantations. Although preoperative computer surgical analysis has been widely used in daily clinical practice, intraoperative computer assisted solutions for risk analysis and navigation in liver sur… Show more

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Cited by 9 publications
(7 citation statements)
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“…6 To avoid anatomical disorientation in a laparoscopic view, augmented reality (AR) support systems are being developed but have not yet been proven to be sufficient. [75][76][77] Anatomical recognition during step 4 of a purely laparoscopic living-donor hepatectomy, and the devices used to cut vessels are the major safety concerns. A technical error might occur during this step, although the risk is very low.…”
Section: T Wo -Dimens Ional E Xpans Ion and The Five S Teps Of L Apar...mentioning
confidence: 99%
“…6 To avoid anatomical disorientation in a laparoscopic view, augmented reality (AR) support systems are being developed but have not yet been proven to be sufficient. [75][76][77] Anatomical recognition during step 4 of a purely laparoscopic living-donor hepatectomy, and the devices used to cut vessels are the major safety concerns. A technical error might occur during this step, although the risk is very low.…”
Section: T Wo -Dimens Ional E Xpans Ion and The Five S Teps Of L Apar...mentioning
confidence: 99%
“…Inaccurate localization may result in a less efficient procedure or unnecessary patient harm. Techniques are being developed to optimize AR image reconstruction, including overcoming respiratory motion and organ deformation (60,(92)(93)(94). In addition to accurate image localization, the device must feel like a "natural extension" of the operator's senses (95).…”
Section: Limitations and Ethical Considerations In Vr And Armentioning
confidence: 99%
“…Despite its advantages and increasing usage, LH is offered only at referral centers, with technical difficulties and the necessities for experience in both hepatobiliary and complex laparoscopic surgery hampering its widespread adoption [10]. Although preoperative computer-assisted surgical simulation, such as computed tomography volumetry, has been widely used in daily clinical practice, development of the novel intraoperative systems in computer-assisted surgery (CAS), which help surgeons to perform safer and more efficient procedures like LH, are expected [11].…”
Section: Introductionmentioning
confidence: 99%