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Published in:

01-06-2013

Image-guided laparoscopic surgery in an open MRI operating theater

Authors: Norifumi Tsutsumi, Morimasa Tomikawa, Munenori Uemura, Tomohiko Akahoshi, Yoshihiro Nagao, Kozo Konishi, Satoshi Ieiri, Jaesung Hong, Yoshihiko Maehara, Makoto Hashizume

Published in: Surgical Endoscopy | Issue 6/2013

Abstract

Background

The recent development of open magnetic resonance imaging (MRI) has provided an opportunity for the next stage of image-guided surgical and interventional procedures. The purpose of this study was to evaluate the feasibility of laparoscopic surgery under the pneumoperitoneum with the system of an open MRI operating theater.

Methods

Five patients underwent laparoscopic surgery with a real-time augmented reality navigation system that we previously developed in a horizontal-type 0.4-T open MRI operating theater.

Results

All procedures were performed in an open MRI operating theater. During the operations, the laparoscopic monitor clearly showed the augmented reality models of the intraperitoneal structures, such as the common bile ducts and the urinary bladder, as well as the proper positions of the prosthesis. The navigation frame rate was 8 frames per min. The mean fiducial registration error was 6.88 ± 6.18 mm in navigated cases. We were able to use magnetic resonance–incompatible surgical instruments out of the 5-Gs restriction area, as well as conventional laparoscopic surgery, and we developed a real-time augmented reality navigation system using open MRI.

Conclusions

Laparoscopic surgery with our real-time augmented reality navigation system in the open MRI operating theater is a feasible option.

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Title: Image-guided laparoscopic surgery in an open MRI operating theater
Authors: Norifumi Tsutsumi
Morimasa Tomikawa
Munenori Uemura
Tomohiko Akahoshi
Yoshihiro Nagao
Kozo Konishi
Satoshi Ieiri
Jaesung Hong
Yoshihiko Maehara
Makoto Hashizume
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 6/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-012-2737-y

At a glance: The STEP trials

Springer Medicine

Image-guided laparoscopic surgery in an open MRI operating theater

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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