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01-05-2015 | Original Article

Laparoscopic intraoperative navigation surgery for gastric cancer using real-time rendered 3D CT images

Authors: Shuji Takiguchi, Y. Fujiwara, M. Yamasaki, H. Miyata, K. Nakajima, T. Nishida, M. Sekimoto, M. Hori, H. Nakamura, M. Mori, Y. Doki

Published in: Surgery Today | Issue 5/2015

Abstract

Purpose

Recent advances in laparoscopic surgical technology have made it possible to perform advanced high-level surgery, such as lymph node dissection for malignancy. Grasping the anatomy during such procedures is important for a safe operation. We have developed a new image information system that provides three-dimensional (3D) reconstructed CT images synchronized with the motion of the laparoscope. This study assesses this new navigation system.

Methods

Enhanced CT using a custom-made software program can provide 3D angiography images reconstructed as a laparoscopic view. A motion sensor mounted on the laparoscope can detect the direction angle of the laparoscope. The real-time rendered 3D CT images are synchronized with the laparoscopic video images according to the motion of the scope. These 3D CT images are projected on another monitor close to the laparoscopic video monitor. Lymph node dissection can be performed with the help of the real-time navigation system that provides a detailed 3D view of the vasculature.

Results

Ten laparoscopic gastrectomies were performed using this navigation system. Real-time intraoperative navigation of the vasculature was available, allowing for an excellent surgical outcome. No complications occurred in this series.

Conclusion

Our intraoperative navigation system allows for safe laparoscopic gastric lymph node dissection.

Takiguchi S, Sekimoto M, Fujiwara Y, Yasuda T, Yano M, Hori M, Murakami T, Nakamura H, Monden M. Laparoscopic lymph node dissection for gastric cancer with intraoperative navigation using three-dimensional angio computed tomography images reconstructed as laparoscopic view. Surg Endosc. 2004;18:106–10.CrossRefPubMed

Morrin MM, LaMont JT. Screening virtual colonoscopy—ready for prime time? N Engl J Med. 2003;349:2261–4.CrossRefPubMed

Scholz M, Fricke B, Tombrock S, Hardenack M, Schmieder K, von During M, Konen W, Harders A. Virtual image navigation: a new method to control intraoperative bleeding in neuroendoscopic surgery. Technical note. J Neurosurg. 2000;93:342–50.CrossRefPubMed

Reiner BI, Siegel EL, Hooper FJ. Accuracy of interpretation of CT scans: comparing PACS monitor displays and hard-copy images. AJR Am J Roentgenol. 2002;179:1407–10.CrossRefPubMed

Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endoscop. 1994;4:146–8.

Nagai Y, Tanimura H, Takifuji K, Kashiwagi H, Yamoto H, Nakatani Y. Laparoscope-assisted Billroth I gastrectomy. Surg Laparosc Endoscop. 1995;5:281–7.

Watson DI, Devitt PG, Game PA. Laparoscopic Billroth II gastrectomy for early gastric cancer. Br J Surg. 1995;82:661–2.CrossRefPubMed

Azagra JS, Goergen M, De Simone P, Ibanez-Aguirre J. Minimally invasive surgery for gastric cancer. Surg Endosc. 1999;13:351–7.CrossRefPubMed

Tanimura S, Higashino M, Fukunaga Y, Osugi H. Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer. Gastric Cancer. 2003;6:64–8.CrossRefPubMed

10.

Uyama I, Sugioka A, Matsui H, Fujita J, Komori Y, Hasumi A. Laparoscopic D2 lymph node dissection for advanced gastric cancer located in the middle or lower third portion of the stomach. Gastric Cancer. 2000;10:50–5.CrossRef

11.

Lee SW, Shinohara H, Matsuki M, Okuda J, Nomura E, Mabuchi H, Nishiguchi K, Takaori K, Narabayashi I, Tanigawa N. Preoperative simulation of vascular anatomy by three-dimensional computed tomography imaging in laparoscopic gastric cancer surgery. J Am Coll Surg. 2003;197:927–36.CrossRefPubMed

12.

Gumprecht H, Trost HA, Lumenta CB. Neuroendoscopy combined with frameless neuronavigation. Br J Neurosurg. 2000;14:129–31.CrossRefPubMed

13.

Busse H, Schmitgen A, Trantakis C, Schober R, Kahn T, Moche M. Advanced approach for intraoperative MRI guidance and potential benefit for neurosurgical applications. J Magn Reson Imaging. 2006;24:140–51.CrossRefPubMed

14.

Caversaccio M, Eichenberger A, Hausler R. Virtual simulator as a training tool for endonasal surgery. Am J Rhinol. 1998;3:283–90.

15.

Ecke U, Klimek L, Muller W, Ziegler R, Mann W. Virtual reality: preparation and execution of sinus surgery. Comput Aided Surg. 1997;39:45–50.

16.

Allaf ME, Jackman SV, Schulam PG, Cadeddu JA, Lee BR, Moore RG, Kavoussi LR. Laparoscopic visual field. Voice vs. foot pedal interfaces for control of the AESOP robot. Surg Endosc. 1998;12:1415–8.CrossRefPubMed

Title: Laparoscopic intraoperative navigation surgery for gastric cancer using real-time rendered 3D CT images
Authors: Shuji Takiguchi
Y. Fujiwara
M. Yamasaki
H. Miyata
K. Nakajima
T. Nishida
M. Sekimoto
M. Hori
H. Nakamura
M. Mori
Y. Doki
Publication date: 01-05-2015
Publisher: Springer Japan
Published in: Surgery Today / Issue 5/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0983-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic intraoperative navigation surgery for gastric cancer using real-time rendered 3D CT images

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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