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

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) an...

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Veröffentlicht in:World journal of surgery 2021-07, Vol.45 (7), p.2108-2115
Hauptverfasser: Tao, Hai-Su, Lin, Jin-Yu, Luo, Wang, Chen, Rui, Zhu, Wen, Fang, Chi-Hua, Yang, Jian
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container_end_page 2115
container_issue 7
container_start_page 2108
container_title World journal of surgery
container_volume 45
creator Tao, Hai-Su
Lin, Jin-Yu
Luo, Wang
Chen, Rui
Zhu, Wen
Fang, Chi-Hua
Yang, Jian
description 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.
doi_str_mv 10.1007/s00268-021-06082-8
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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.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-021-06082-8</identifier><identifier>PMID: 33770240</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Augmented reality ; Cardiac Surgery ; Feasibility ; General Surgery ; Laparoscopy ; Medicine ; Medicine &amp; Public Health ; Original Scientific Report ; Patients ; Spleen ; Splenectomy ; Splenic artery ; Splenomegaly ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2021-07, Vol.45 (7), p.2108-2115</ispartof><rights>Société Internationale de Chirurgie 2021</rights><rights>2021 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4923-35aa168a54504e29d0922559e7ec8b6bef505ade0188a93c0074438d786eae5f3</citedby><cites>FETCH-LOGICAL-c4923-35aa168a54504e29d0922559e7ec8b6bef505ade0188a93c0074438d786eae5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-021-06082-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-021-06082-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33770240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tao, Hai-Su</creatorcontrib><creatorcontrib>Lin, Jin-Yu</creatorcontrib><creatorcontrib>Luo, Wang</creatorcontrib><creatorcontrib>Chen, Rui</creatorcontrib><creatorcontrib>Zhu, Wen</creatorcontrib><creatorcontrib>Fang, Chi-Hua</creatorcontrib><creatorcontrib>Yang, Jian</creatorcontrib><title>Application of Real-Time Augmented Reality Laparoscopic Navigation in Splenectomy for Massive Splenomegaly</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>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). 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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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33770240</pmid><doi>10.1007/s00268-021-06082-8</doi><tpages>8</tpages></addata></record>
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subjects Abdominal Surgery
Augmented reality
Cardiac Surgery
Feasibility
General Surgery
Laparoscopy
Medicine
Medicine & Public Health
Original Scientific Report
Patients
Spleen
Splenectomy
Splenic artery
Splenomegaly
Surgery
Thoracic Surgery
Vascular Surgery
title Application of Real-Time Augmented Reality Laparoscopic Navigation in Splenectomy for Massive Splenomegaly
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