Real-time image-guided and computer augmented reality in minimally invasive hepatopancreatobiliary surgery cutting edge technology transforming HPB surgery.

IF 2.7 2区医学 Q2 SURGERY

Surgical Endoscopy And Other Interventional Techniques Pub Date : 2025-09-25 DOI:10.1007/s00464-025-12202-5

Camila Ortiz Gomez, Jason Hawksworth, Christoph Tschuor, Nobuyuki Takemura, Daisuke Fukumori, Erin Baker, Osamu Yoshino

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引用次数: 0

Abstract

Background: The minimally invasive hepatopancreatobiliary (MI-HPB) surgery demands a greater depth of concentration and a thorough understanding of anatomy, along with advanced technical skills for precise tissue manipulation. Robotic surgery, with its precision and refined control, is increasingly replacing conventional laparoscopic approaches in MI-HPB procedures. Modern robotic systems serve as intuitive extensions of the surgeon's hands, offering exceptional dexterity and enhanced sensory feedback, though they remain functionally limited in some respects. The integration of augmented reality features is now feasible and holds promise as a safety enhancement, providing real-time intraoperative support to surgeons.

Method: In this review article, we describe currently available real-time image technologies and their clinical applications in HPB surgery, including an indocyanine-green fluorescence view, integrated intraoperative ultrasound using a miniature drop-in probe, and novel 3D simulation imaging system.

Results: The technology described in this article is readily available to support surgeons in perceiving and understanding relevant anatomy and serves as a navigation system in surgery. Technology and its users are mutually intertwined, continuously shaping and influencing one another.

Conclusion: These innovations are not only redefining safety standards in minimally invasive HPB surgery but also ushering in a new era of digital surgery in HPB through increasingly advanced application of augmented reality.

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实时图像引导和计算机增强现实在微创肝胆胰手术中的应用前沿技术改变了HPB手术。

背景：微创肝胰胆（MI-HPB）手术需要更深入的专注和对解剖学的透彻理解，以及精确组织操作的先进技术技能。在MI-HPB手术中，机器人手术以其精确和精细的控制，正逐渐取代传统的腹腔镜手术方式。现代机器人系统作为外科医生双手的直观延伸，提供了非凡的灵活性和增强的感官反馈，尽管它们在某些方面仍然存在功能限制。增强现实功能的集成现在是可行的，并且有望作为一种安全增强，为外科医生提供实时术中支持。方法：在这篇综述文章中，我们描述了目前可用的实时图像技术及其在HPB手术中的临床应用，包括吲哚菁-绿色荧光视图、使用微型插入探针的集成术中超声和新型三维模拟成像系统。结果：本文所描述的技术可用于支持外科医生感知和理解相关解剖结构，并可作为手术导航系统。技术和它的用户是相互交织的，不断地相互塑造和影响。结论：这些创新不仅重新定义了微创HPB手术的安全标准，而且通过日益先进的增强现实应用，开创了HPB数字化手术的新时代。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery