Evolution of Image-Guided Liver Surgery: Transition from Open to Laparoscopic Procedures Journal Article
| Authors: | Kingham, T. P.; Jayaraman, S.; Clements, L. W.; Scherer, M. A.; Stefansic, J. D.; Jarnagin, W. R. |
| Article Title: | Evolution of Image-Guided Liver Surgery: Transition from Open to Laparoscopic Procedures |
| Abstract: | Introduction: Indications for liver surgery to treat primary and secondary hepatic malignancies are broadening. Utilizing data from B-mode or 2-D intraoperative ultrasound, it is often challenging to replicate the findings from preoperative CT or MRI scans. Additional data from more recently developed image-guidance technology, which registers preoperative axial imaging to a 3-D real-time model, may be used to improve operative planning, locate difficult to find hepatic tumors, and guide ablations. Methods: Laparoscopic liver procedures are often more challenging than their open counterparts. Image-guidance technology can assist in overcoming some of the obstacles to minimally invasive liver procedures by enhancing ultrasound findings and ablation guidance. This manuscript describes a protocol that evaluated an open image-guidance system, and a subsequent protocol that directly compared, for validation, a laparoscopic with an open image-guidance system. Both protocols were limited to ablations within the liver. Discussion: The laparoscopic image-guidance system successfully creates a 3-D model at both 7 and 14 mm Hg that is similar to the open 3-D model. Ultimately, improving intraoperative image guidance can help expand the ability to perform both laparoscopic and open liver surgeries. © 2013 The Society for Surgery of the Alimentary Tract. |
| Keywords: | liver surgery; minimally invasive; image-guided surgery |
| Journal Title: | Journal of Gastrointestinal Surgery |
| Volume: | 17 |
| Issue: | 7 |
| ISSN: | 1091-255X |
| Publisher: | Springer |
| Date Published: | 2013-07-01 |
| Start Page: | 1274 |
| End Page: | 1282 |
| Language: | English |
| DOI: | 10.1007/s11605-013-2214-5 |
| PROVIDER: | scopus |
| PMCID: | PMC3690505 |
| PUBMED: | 23645420 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 1 July 2013" - "Source: Scopus" |
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