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Published in: World Journal of Surgery 7/2021

01-07-2021 | Splenectomy | Original Scientific Report

Application of Real-Time Augmented Reality Laparoscopic Navigation in Splenectomy for Massive Splenomegaly

Authors: Hai-Su Tao, Jin-Yu Lin, Wang Luo, Rui Chen, Wen Zhu, Chi-Hua Fang, Jian Yang

Published in: World Journal of Surgery | Issue 7/2021

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Abstract

Objectives

To evaluate the clinical impact and technical feasibility of augmented reality laparoscopic navigation (ARLN) system in laparoscopic splenectomy for massive splenomegaly.

Methods

The clinical data of 17 consecutive patients who underwent laparoscopic splenectomy using ARLN (ARLN group) and 26 patients without ARLN guidance (Non-ARLN group) between January 2018 and April 2020 were enrolled. Propensity score matching (PSM) analysis was performed between the patients with and without ARLN guidance at a ratio of 1:1.

Results

Mean intraoperative blood loss was significantly lower in the ARLN-group than in the Non-ARLN group (306.6 ml vs. 462.6 ml, p = 0.047). All the patients in the ARLN-group achieved successful splenic artery dissection, while surgical success was achieved in 12 patients in the Non-ARLN group (p = 0.044). Postoperative hospital stay was significantly longer in the Non-ARLN group (3.8 days vs. 4.5 days, p = 0.040).

Conclusions

ARLN can provide feasible and accurate intraoperative image guidance, and it could be helpful in the performance of laparoscopic splenectomy for massive splenomegaly.
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Metadata
Title
Application of Real-Time Augmented Reality Laparoscopic Navigation in Splenectomy for Massive Splenomegaly
Authors
Hai-Su Tao
Jin-Yu Lin
Wang Luo
Rui Chen
Wen Zhu
Chi-Hua Fang
Jian Yang
Publication date
01-07-2021
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 7/2021
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-021-06082-8

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