擴增實境輔助下後腹腔鏡手術的經驗報告
吳其翔1、丁原田1、曾任偉1、林茂盛2、王建翔2
秀傳醫療財團法人彰濱秀傳紀念醫院 泌尿科1；秀傳醫療社團法人彰化秀傳紀念醫院 泌尿部2
Experience of augmented reality in retroperitoneal laparoscopic surgery in show chwan memorial hospital
Jungle Chi-Hsiang Wu1, Yuan-Tien Ting1, Ren-Wei Tzeng1, Mao-Sheng Lin2, Chien-Hsiang Wang2
Department of Urology Division of Urology, Department of Surgery, Chang Bing Show Chwan Memorial Hospital1 ; Changhua Show Chwan Memorial Hospital2
Purpose:
A new image-guided surgical system, with a computer-aided imaging-overlay system between the real-time laparoscopic view and a reconstructed 3D surgical model of the targeted anatomy, named augmented reality (AR), We reported our experience of AR-assisted laparoscopic surgery (ARLS) on patients with retroperitoneal disease.
Materials and Methods:
From January 2010 to August 2015, totally 41 cases with retroperitoneal disease were treated by ARLS in our hospital. 24 laparoscopic adrenalectomies, Ten laparoscopic pyeloplasty for Ureteropelvic Junction Obstruction (UPJO), three ureteroureterostomies for retrocaval ureter, three laparoscopic partial nephrectomies and one retroperitoneal tumor excision. Their medical records were analyzed, and the relevant literature was reviewed.
Results:
All procedures were successfully completed without conversion to open surgery. There were no perioperative complications. There was neither postoperative mortality nor morbidity at the time of discharge and during follow-up.
Conclusions:
AR provided precisely intraoperative decision-making by extensive understanding of the 3D topography of the surgical target, the 3D course of the surrounding vasculature, and the proximity of vital anatomic structures in advance of embarking on the actual surgical procedure.