Preliminary study on application of augmented reality visualization in robotic thyroid surgery

Dongheon Lee; Hyoun-Joong Kong; Donguk Kim; Jin Wook Yi; Young Jun Chai; Kyu Eun Lee; Hee Chan Kim

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저자정보: Dongheon Lee (Seoul National University) Hyoun-Joong Kong (Chungnam National University College of Medicine) Donguk Kim (Seoul National University Hospital) Jin Wook Yi (Seoul National University College of Medicine) Young Jun Chai (Seoul National University Boramae Medical Center) Kyu Eun Lee (Seoul National University College of Medicine) Hee Chan Kim (Seoul National University College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.6

발행연도: 2018.12

수록면: 297 - 302 (6page)

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Purpose: Increased robotic surgery is attended by increased reports of complications, largely due to limited operative view and lack of tactile sense. These kinds of obstacles, which seldom occur in open surgery, are challenging for beginner surgeons. To enhance robotic surgery safety, we created an augmented reality (AR) model of the organs around the thyroid glands, and tested the AR model applicability in robotic thyroidectomy.
Methods: We created AR images of the thyroid gland, common carotid arteries, trachea, and esophagus using preoperative CT images of a thyroid carcinoma patient. For a preliminary test, we overlaid the AR images on a 3-dimensional printed model at five different angles and evaluated its accuracy using Dice similarity coefficient. We then overlaid the AR images on the real-time operative images during robotic thyroidectomy.
Results: The Dice similarity coefficients ranged from 0.984 to 0.9908, and the mean of the five different angles was 0.987. During the entire process of robotic thyroidectomy, the AR images were successfully overlaid on the real-time operative images using manual registration.
Conclusion: We successfully demonstrated the use of AR on the operative field during robotic thyroidectomy. Although there are currently limitations, the use of AR in robotic surgery will become more practical as the technology advances and may contribute to the enhancement of surgical safety.

#Thyroidectomy #Thyroid neoplasms #Augmented reality #Robotic surgical procedures #Computed-assisted surgery

참고문헌 (20)

참고문헌 신청

[학술지(정기간행물)] - Kang SW / 2009 / Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach / J Am Coll Surg 209 : e1 ~ e7

[학술지(정기간행물)] - Terris DJ / 2011 / Robotic facelift thyroidectomy: II. Clinical feasibility and safety / Laryngoscope 121 : 1636 ~ 1641

[학술지(정기간행물)] - Kim HY / 2018 / Transoral robotic thyroidectomy : lessons learned from an initial consecutive series of 24 patients / Surg Endosc 32 : 688 ~ 694

[학술지(정기간행물)] - Chai YJ / 2017 / Surgical safety and oncological completeness of robotic thyroidectomy for thyroid carcinoma larger than 2 cm / Surg Endosc 31 : 1235 ~ 1240

[학술지(정기간행물)] - 채영준 / 2016 / A comparative study of postoperative pain for open thyroidectomy versus bilateral axillo-breast approach robotic thyroidectomy using a self-reporting application for iPad / 대한외과학회지 90 (5) : 239 ~ 245

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