Skip to main content
Top
Published in: Langenbeck's Archives of Surgery 4/2013

Open Access 01-04-2013 | Review Article

Navigation in surgery

Authors: Uli Mezger, Claudia Jendrewski, Michael Bartels

Published in: Langenbeck's Archives of Surgery | Issue 4/2013

Login to get access

Abstract

Introduction

“Navigation in surgery” spans a broad area, which, depending on the clinical challenge, can have different meanings. Over the past decade, navigation in surgery has evolved beyond imaging modalities and bulky systems into the rich networking of the cloud or devices that are pocket-sized.

Discussion

This article will review various aspects of navigation in the operating room and beyond. This includes a short history of navigation, the evolution of surgical navigation, as well as technical aspects and clinical benefits with examples from neurosurgery, spinal surgery, and orthopedics.

Conclusion

With improved computer technology and a trend towards advanced information processing within hospitals, navigation is quickly becoming an integral part in the surgical routine of clinicians.
Literature
2.
go back to reference Paleologos TS, Wadley JP, Kitchen ND, Thomas DG (2000) Clinical utility and cost-effectiveness of interactive image-guided craniotomy: clinical comparison between conventional and image-guided meningioma surgery. Neurosug 47(1):40–48 Paleologos TS, Wadley JP, Kitchen ND, Thomas DG (2000) Clinical utility and cost-effectiveness of interactive image-guided craniotomy: clinical comparison between conventional and image-guided meningioma surgery. Neurosug 47(1):40–48
4.
go back to reference Maciuanas RJ (2006) Computer-assisted neurosurgery. Clin Neurosurg 53:267–271 Maciuanas RJ (2006) Computer-assisted neurosurgery. Clin Neurosurg 53:267–271
5.
go back to reference Kraus MD, Krischak G, Keppler P, Gebhard FT, Schuetz UH (2010) Can computer-assisted surgery reduce the effective dose for spinal fusion and sacroiliac screw insertion? Clin Orthop Relat Res 468(9):2419–2429PubMedCrossRef Kraus MD, Krischak G, Keppler P, Gebhard FT, Schuetz UH (2010) Can computer-assisted surgery reduce the effective dose for spinal fusion and sacroiliac screw insertion? Clin Orthop Relat Res 468(9):2419–2429PubMedCrossRef
7.
go back to reference Jung TY, Jung S, Kim IY, Park SJ, Kang SS, Kim S, Lim SC (2006) Application of neuronavigation system to brain tumor surgery with clinical experience of 420 cases. Minim Invasive Neurosurg 49(4):210–215PubMedCrossRef Jung TY, Jung S, Kim IY, Park SJ, Kang SS, Kim S, Lim SC (2006) Application of neuronavigation system to brain tumor surgery with clinical experience of 420 cases. Minim Invasive Neurosurg 49(4):210–215PubMedCrossRef
8.
go back to reference Wadley J, Dorward N, Kitchen N, Thomas D (1999) Pre-operative planning and intra-operative guidance in modern neurosurgery: a review of 300 cases. Ann R Coll Surg Engl 81(4):217–225PubMed Wadley J, Dorward N, Kitchen N, Thomas D (1999) Pre-operative planning and intra-operative guidance in modern neurosurgery: a review of 300 cases. Ann R Coll Surg Engl 81(4):217–225PubMed
9.
go back to reference Kurimoto M, Hayashi N, Kamiyama H, Nagai S, Shibata T, Asahi T, Matsumura N, Hirashima Y, Endo S (2004) Impact of neuronavigation and image-guided extensive resection for adult patients with supratentorial malignant astrocytomas: a single-institution retrospective study. Minim Invasive Neurosurg 47(5):278–283PubMedCrossRef Kurimoto M, Hayashi N, Kamiyama H, Nagai S, Shibata T, Asahi T, Matsumura N, Hirashima Y, Endo S (2004) Impact of neuronavigation and image-guided extensive resection for adult patients with supratentorial malignant astrocytomas: a single-institution retrospective study. Minim Invasive Neurosurg 47(5):278–283PubMedCrossRef
10.
go back to reference Wirtz CR, Albert FK, Schwaderer M, Heuer C, Staubert A, Tronnier VM, Knauth M, Kunze S (2000) The benefit of neuronavigation for neurosurgery analyzed by its impact on glioblastoma surgery. Neurol Res 22(4):354–360PubMed Wirtz CR, Albert FK, Schwaderer M, Heuer C, Staubert A, Tronnier VM, Knauth M, Kunze S (2000) The benefit of neuronavigation for neurosurgery analyzed by its impact on glioblastoma surgery. Neurol Res 22(4):354–360PubMed
12.
go back to reference Schulz C, Waldeck S, Mauer UM (2012) Intraoperative image guidance in neurosurgery: development, current indications, and future trends. Radiol Res Pract 197364. doi:10.1155/2012/197364 Schulz C, Waldeck S, Mauer UM (2012) Intraoperative image guidance in neurosurgery: development, current indications, and future trends. Radiol Res Pract 197364. doi:10.​1155/​2012/​197364
13.
go back to reference Nimsky C, Ganslandt O, Fahlbusch R (2006) Implementation of fiber tract navigation. Neurosurg 58(4 Suppl 2):ONS-292–ONS-303, discussion ONS-303-4 Nimsky C, Ganslandt O, Fahlbusch R (2006) Implementation of fiber tract navigation. Neurosurg 58(4 Suppl 2):ONS-292–ONS-303, discussion ONS-303-4
14.
go back to reference Hatiboglu MA, Weinberg JS, Suki D, Rao G, Prabhu SS, Shah K, Jackson E, Sawaya R (2009) Impact of intraoperative high-field magnetic resonance imaging guidance on glioma surgery: a prospective volumetric analysis. Neurosurg 64(6):1073–1081. doi:10.1227/01.NEU.0000345647.58219.07 CrossRef Hatiboglu MA, Weinberg JS, Suki D, Rao G, Prabhu SS, Shah K, Jackson E, Sawaya R (2009) Impact of intraoperative high-field magnetic resonance imaging guidance on glioma surgery: a prospective volumetric analysis. Neurosurg 64(6):1073–1081. doi:10.​1227/​01.​NEU.​0000345647.​58219.​07 CrossRef
15.
go back to reference Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, Fahlbusch R (2005) Preoperative and intraoperative diffusion tensor imaging-based fiber tracking in glioma surgery. Neurosurg 56(1):130–138 Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, Fahlbusch R (2005) Preoperative and intraoperative diffusion tensor imaging-based fiber tracking in glioma surgery. Neurosurg 56(1):130–138
16.
go back to reference Scheufler KM, Franke J, Eckardt A, Dohmen H (2011) Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing, part I: cervicothoracic spine. Neurosurg 69(4):782–795. doi:10.1227/NEU.0b013e318222ae16 CrossRef Scheufler KM, Franke J, Eckardt A, Dohmen H (2011) Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing, part I: cervicothoracic spine. Neurosurg 69(4):782–795. doi:10.​1227/​NEU.​0b013e318222ae16​ CrossRef
17.
go back to reference Fehring TK, Odum S, Griffin WL, Mason JB, Nadaud M (2001) Early failures in total knee arthroplasty. Clin Orthop Relat Res 392:315–318PubMedCrossRef Fehring TK, Odum S, Griffin WL, Mason JB, Nadaud M (2001) Early failures in total knee arthroplasty. Clin Orthop Relat Res 392:315–318PubMedCrossRef
18.
go back to reference Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM (2002) Why are total knee arthroplasties failing today? Clin Orthop Relat Res (404)7-13. Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM (2002) Why are total knee arthroplasties failing today? Clin Orthop Relat Res (404)7-13.
19.
go back to reference Upadhyay A, York S, Macaulay W, McGrory B, Robbennolt J, Bal BS (2007) Medical malpractice in hip and knee arthroplasty. J Arthroplasty 22(6 Suppl 2):2–7PubMedCrossRef Upadhyay A, York S, Macaulay W, McGrory B, Robbennolt J, Bal BS (2007) Medical malpractice in hip and knee arthroplasty. J Arthroplasty 22(6 Suppl 2):2–7PubMedCrossRef
21.
go back to reference Mason JB, Fehring TK, Estok R, Banel D, Fahrbach K (2007) Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery. J Arthroplasty 8:1097–1106CrossRef Mason JB, Fehring TK, Estok R, Banel D, Fahrbach K (2007) Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery. J Arthroplasty 8:1097–1106CrossRef
22.
go back to reference Blakeney WG, Khan RJ, Wall SJ (2011) Computer-assisted techniques versus conventional guides for component alignment in total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg Am 93:1377–1384. doi:10.2106/JBJS.I.01321 PubMedCrossRef Blakeney WG, Khan RJ, Wall SJ (2011) Computer-assisted techniques versus conventional guides for component alignment in total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg Am 93:1377–1384. doi:10.​2106/​JBJS.​I.​01321 PubMedCrossRef
23.
24.
go back to reference Peterlein CD, Schofer MD, Fuchs-Winkelmann S, Scherf FG (2009) Clinical outcome and quality of life after computer-assisted total knee arthroplasty: results from a prospective, single-surgeon study and review of the literature. Chir Organi Mov 93(3):115–122. doi:10.1007/s12306-009-0042-2 PubMed Peterlein CD, Schofer MD, Fuchs-Winkelmann S, Scherf FG (2009) Clinical outcome and quality of life after computer-assisted total knee arthroplasty: results from a prospective, single-surgeon study and review of the literature. Chir Organi Mov 93(3):115–122. doi:10.​1007/​s12306-009-0042-2 PubMed
25.
go back to reference Luring C, Oczipka F, Grifka J, Perlick L (2008) The computer-assisted sequential lateral soft-tissue release in total knee arthroplasty for valgus knees. 32(2):229–235. Luring C, Oczipka F, Grifka J, Perlick L (2008) The computer-assisted sequential lateral soft-tissue release in total knee arthroplasty for valgus knees. 32(2):229–235.
27.
28.
go back to reference Kalteis T, Handel M, Baethis H, Perlick L, Tingart M, Grifka J (2006) Imageless navigation for insertion of the acetabular component in total hip arthroplasty—is it as accurate as CT-based navigation? J Bone Joint Surg Br 88(2):163–167PubMedCrossRef Kalteis T, Handel M, Baethis H, Perlick L, Tingart M, Grifka J (2006) Imageless navigation for insertion of the acetabular component in total hip arthroplasty—is it as accurate as CT-based navigation? J Bone Joint Surg Br 88(2):163–167PubMedCrossRef
29.
go back to reference Reininga IH, Zijlstra W, Wagenmakers R, Boerboom AL, Huijbers BP, Groothoff JW, Bulstra SK, Stevens M (2010) Minimally invasive and computer-navigated total hip arthroplasty: a qualitative and systematic review of the literature. BMC Musculoskelet Disord 11:92. doi:10.1186/1471-2474-11-92 PubMedCrossRef Reininga IH, Zijlstra W, Wagenmakers R, Boerboom AL, Huijbers BP, Groothoff JW, Bulstra SK, Stevens M (2010) Minimally invasive and computer-navigated total hip arthroplasty: a qualitative and systematic review of the literature. BMC Musculoskelet Disord 11:92. doi:10.​1186/​1471-2474-11-92 PubMedCrossRef
30.
go back to reference Wixson RL, MacDonald MA (2005) Total hip arthroplasty through a minimal posterior approach using imageless computer-assisted hip navigation. J Arthroplasty 20(7 suppl 3):51–56PubMedCrossRef Wixson RL, MacDonald MA (2005) Total hip arthroplasty through a minimal posterior approach using imageless computer-assisted hip navigation. J Arthroplasty 20(7 suppl 3):51–56PubMedCrossRef
31.
32.
go back to reference Murphy SB, Ecker TM (2007) Evaluation of a new leg length measurement algorithm in hip arthroplasty. Clin Orthop Relat Res 463:85–89PubMed Murphy SB, Ecker TM (2007) Evaluation of a new leg length measurement algorithm in hip arthroplasty. Clin Orthop Relat Res 463:85–89PubMed
34.
go back to reference Lehnen K, Giesinger K, Warschkow R, Porter M, Koch E, Kuster MS (2010) Clinical outcome using a ligament referencing technique in CAS versus conventional technique. Knee Surg Sports Traumatol Arthrosc 19(6):887–892. doi:10.1007/s00167-010-1264-4 PubMedCrossRef Lehnen K, Giesinger K, Warschkow R, Porter M, Koch E, Kuster MS (2010) Clinical outcome using a ligament referencing technique in CAS versus conventional technique. Knee Surg Sports Traumatol Arthrosc 19(6):887–892. doi:10.​1007/​s00167-010-1264-4 PubMedCrossRef
37.
go back to reference Kuhnt D, Becker A, Ganslandt O, Bauer M, Buchfelder M, Nimsky C (2011) Correlation of the extent of tumor volume resection and patient survival in surgery of glioblastoma multiforme with high-field intraoperative MRI guidance. Neuro Oncol 13(12):1339–1348. doi:10.1093/neuonc/nor133 PubMedCrossRef Kuhnt D, Becker A, Ganslandt O, Bauer M, Buchfelder M, Nimsky C (2011) Correlation of the extent of tumor volume resection and patient survival in surgery of glioblastoma multiforme with high-field intraoperative MRI guidance. Neuro Oncol 13(12):1339–1348. doi:10.​1093/​neuonc/​nor133 PubMedCrossRef
40.
go back to reference Denzler DN (2010) Brainlab AG, internal analysis of functionalities and user surveys of “Brainsuite Net” (Brainlab 1st generation OR integration) vs “Digital Lightbox” (Brainlab OR-optimized surgical DICOM viewer with intuitive user interface and intelligent algorithms), Mar 2010 Denzler DN (2010) Brainlab AG, internal analysis of functionalities and user surveys of “Brainsuite Net” (Brainlab 1st generation OR integration) vs “Digital Lightbox” (Brainlab OR-optimized surgical DICOM viewer with intuitive user interface and intelligent algorithms), Mar 2010
41.
go back to reference de Yang L, Xu QW, Che XM, Wu JS, Sun B (2009) Clinical evaluation and follow-up outcome of presurgical plan by Dextroscope: a prospective controlled study in patients with skull base tumors. Surg Neurol 72(6):682–689. doi:10.1016/j.surneu.2009.07.040 CrossRef de Yang L, Xu QW, Che XM, Wu JS, Sun B (2009) Clinical evaluation and follow-up outcome of presurgical plan by Dextroscope: a prospective controlled study in patients with skull base tumors. Surg Neurol 72(6):682–689. doi:10.​1016/​j.​surneu.​2009.​07.​040 CrossRef
42.
go back to reference Thani NB, Bala A, Swann GB, Lind CR (2011) Accuracy of postoperative computed tomography and magnetic resonance image fusion for assessing deep brain stimulation electrodes. Neurosurg 69(1):207–214CrossRef Thani NB, Bala A, Swann GB, Lind CR (2011) Accuracy of postoperative computed tomography and magnetic resonance image fusion for assessing deep brain stimulation electrodes. Neurosurg 69(1):207–214CrossRef
Metadata
Title
Navigation in surgery
Authors
Uli Mezger
Claudia Jendrewski
Michael Bartels
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 4/2013
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-013-1059-4

Other articles of this Issue 4/2013

Langenbeck's Archives of Surgery 4/2013 Go to the issue