Feasibility of Image-guided Navigation with Electromagnetic Tracking During Robot-assisted Sentinel Node Biopsy: A Prospective Study
Our study demonstrated that integration of navigation during robotic abdominopelvic surgeries is feasible. Navigation helped in effectively and safely reaching target sentinel nodes. Participating surgeons are willing to use this approach in future procedures and are confident it will improve decisi...
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| creator | Aguilera Saiz, Laura Heerink, Wouter J. Groen, Harald C. Hiep, Marijn A.J. van der Poel, Henk G. Wit, Esther M.K. Nieuwenhuijzen, Jakko A. Roeleveld, Ton A. Vis, André N. Donswijk, Maarten L. van Leeuwen, Pim J. Ruers, Theo J.M. |
| description | Our study demonstrated that integration of navigation during robotic abdominopelvic surgeries is feasible. Navigation helped in effectively and safely reaching target sentinel nodes. Participating surgeons are willing to use this approach in future procedures and are confident it will improve decisiveness.
Image-guided surgical navigation (IGSN) can enhance surgical precision and safety. The expansion of minimally invasive surgery has increased the demand for integration of these navigation systems into robot-assisted surgery. Our objective was to evaluate the integration of electromagnetic tracking with IGSN in robot-assisted sentinel lymph node biopsy (SLNB).
We conducted a prospective feasibility study to test the use of IGSN in SLNB. In total, 25 patients scheduled for SLNB at The Netherlands Cancer Institute were included (March 2022 to March 2023). SLNB using IGSN was performed using a standardised technique with a da Vinci robot (Intuitive Surgical, Sunnyvale, CA, USA) in four-arm configuration. Feasibility was determined as the percentage of sentinel nodes (SNs) successfully identified via IGSN. Successful SN resection was defined as SNs correctly localised via navigation and validated ex vivo with a gamma probe. Surgeon feedback on the robot-assisted IGSN workflow was evaluated using the System Usability Scale (SUS).
In accordance with the protocol, the first five patients were used for workflow optimisation, and the subsequent 20 patients were included in the analysis. IGSN led to successful identification of 91% (50/55) of the SNs. There were no complications associated with navigation. The surgeon feedback (SUS) was 60.9, with lowest scores reported for the user interface and workflow integration.
IGSN during robot-assisted surgery was feasible and safe. The technique allowed identification and removal of predefined small pelvic lymph nodes.
We carried out a study on the feasibility of imaging-guided navigation in robot-assisted prostate surgery. Our results show that this technique is feasible, safe, and effective. |
| doi_str_mv | 10.1016/j.eururo.2024.07.022 |
| format | Article |
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Image-guided surgical navigation (IGSN) can enhance surgical precision and safety. The expansion of minimally invasive surgery has increased the demand for integration of these navigation systems into robot-assisted surgery. Our objective was to evaluate the integration of electromagnetic tracking with IGSN in robot-assisted sentinel lymph node biopsy (SLNB).
We conducted a prospective feasibility study to test the use of IGSN in SLNB. In total, 25 patients scheduled for SLNB at The Netherlands Cancer Institute were included (March 2022 to March 2023). SLNB using IGSN was performed using a standardised technique with a da Vinci robot (Intuitive Surgical, Sunnyvale, CA, USA) in four-arm configuration. Feasibility was determined as the percentage of sentinel nodes (SNs) successfully identified via IGSN. Successful SN resection was defined as SNs correctly localised via navigation and validated ex vivo with a gamma probe. Surgeon feedback on the robot-assisted IGSN workflow was evaluated using the System Usability Scale (SUS).
In accordance with the protocol, the first five patients were used for workflow optimisation, and the subsequent 20 patients were included in the analysis. IGSN led to successful identification of 91% (50/55) of the SNs. There were no complications associated with navigation. The surgeon feedback (SUS) was 60.9, with lowest scores reported for the user interface and workflow integration.
IGSN during robot-assisted surgery was feasible and safe. The technique allowed identification and removal of predefined small pelvic lymph nodes.
We carried out a study on the feasibility of imaging-guided navigation in robot-assisted prostate surgery. Our results show that this technique is feasible, safe, and effective.</description><identifier>ISSN: 0302-2838</identifier><identifier>ISSN: 1873-7560</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2024.07.022</identifier><identifier>PMID: 39174413</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Electromagnetic tracking ; Image-guided surgical navigation ; Robot-assisted surgery ; Sentinel lymph node biopsy</subject><ispartof>European urology, 2024-08</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2022-790875996310953c1686b1de1f7d64b6d122e86ec15ead6fff47bf829969ca883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0302283824025107$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39174413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aguilera Saiz, Laura</creatorcontrib><creatorcontrib>Heerink, Wouter J.</creatorcontrib><creatorcontrib>Groen, Harald C.</creatorcontrib><creatorcontrib>Hiep, Marijn A.J.</creatorcontrib><creatorcontrib>van der Poel, Henk G.</creatorcontrib><creatorcontrib>Wit, Esther M.K.</creatorcontrib><creatorcontrib>Nieuwenhuijzen, Jakko A.</creatorcontrib><creatorcontrib>Roeleveld, Ton A.</creatorcontrib><creatorcontrib>Vis, André N.</creatorcontrib><creatorcontrib>Donswijk, Maarten L.</creatorcontrib><creatorcontrib>van Leeuwen, Pim J.</creatorcontrib><creatorcontrib>Ruers, Theo J.M.</creatorcontrib><title>Feasibility of Image-guided Navigation with Electromagnetic Tracking During Robot-assisted Sentinel Node Biopsy: A Prospective Study</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>Our study demonstrated that integration of navigation during robotic abdominopelvic surgeries is feasible. Navigation helped in effectively and safely reaching target sentinel nodes. Participating surgeons are willing to use this approach in future procedures and are confident it will improve decisiveness.
Image-guided surgical navigation (IGSN) can enhance surgical precision and safety. The expansion of minimally invasive surgery has increased the demand for integration of these navigation systems into robot-assisted surgery. Our objective was to evaluate the integration of electromagnetic tracking with IGSN in robot-assisted sentinel lymph node biopsy (SLNB).
We conducted a prospective feasibility study to test the use of IGSN in SLNB. In total, 25 patients scheduled for SLNB at The Netherlands Cancer Institute were included (March 2022 to March 2023). SLNB using IGSN was performed using a standardised technique with a da Vinci robot (Intuitive Surgical, Sunnyvale, CA, USA) in four-arm configuration. Feasibility was determined as the percentage of sentinel nodes (SNs) successfully identified via IGSN. Successful SN resection was defined as SNs correctly localised via navigation and validated ex vivo with a gamma probe. Surgeon feedback on the robot-assisted IGSN workflow was evaluated using the System Usability Scale (SUS).
In accordance with the protocol, the first five patients were used for workflow optimisation, and the subsequent 20 patients were included in the analysis. IGSN led to successful identification of 91% (50/55) of the SNs. There were no complications associated with navigation. The surgeon feedback (SUS) was 60.9, with lowest scores reported for the user interface and workflow integration.
IGSN during robot-assisted surgery was feasible and safe. The technique allowed identification and removal of predefined small pelvic lymph nodes.
We carried out a study on the feasibility of imaging-guided navigation in robot-assisted prostate surgery. Our results show that this technique is feasible, safe, and effective.</description><subject>Electromagnetic tracking</subject><subject>Image-guided surgical navigation</subject><subject>Robot-assisted surgery</subject><subject>Sentinel lymph node biopsy</subject><issn>0302-2838</issn><issn>1873-7560</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kE1v1DAQhi0EotvCP0DIRy5Z_JE4DgekUlqoVBVEy9ly7MkySzZebGfR3vvD8WoLR05zed53Zh5CXnG25Iyrt-slzHGOYSmYqJesXTIhnpAF162s2kaxp2TBJBOV0FKfkNOU1owx2XTyOTmRHW_rmssFebgCm7DHEfOehoFeb-wKqtWMHjy9tTtc2Yxhor8x_6CXI7gcQ0EmyOjofbTuJ04r-nGOh_Et9CFXNiVMucTvYMo4wUhvgwf6AcM27d_Rc_o1hrQtTbgDepdnv39Bng12TPDycZ6R71eX9xefq5svn64vzm8qV34UVdsx3TZdpyRnXSMdV1r13AMfWq_qXnkuBGgFjjdgvRqGoW77QYuS6JzVWp6RN8febQy_ZkjZbDA5GEc7QZiTkaxTQjPVsILWR9SVY1OEwWwjbmzcG87Mwb9Zm6N_c_BvWGvKiSX2-nHD3G_A_wv9FV6A90cAyp87hGiSQ5gceIxFifEB_7_hD6OHmik</recordid><startdate>20240821</startdate><enddate>20240821</enddate><creator>Aguilera Saiz, Laura</creator><creator>Heerink, Wouter J.</creator><creator>Groen, Harald C.</creator><creator>Hiep, Marijn A.J.</creator><creator>van der Poel, Henk G.</creator><creator>Wit, Esther M.K.</creator><creator>Nieuwenhuijzen, Jakko A.</creator><creator>Roeleveld, Ton A.</creator><creator>Vis, André N.</creator><creator>Donswijk, Maarten L.</creator><creator>van Leeuwen, Pim J.</creator><creator>Ruers, Theo J.M.</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240821</creationdate><title>Feasibility of Image-guided Navigation with Electromagnetic Tracking During Robot-assisted Sentinel Node Biopsy: A Prospective Study</title><author>Aguilera Saiz, Laura ; Heerink, Wouter J. ; Groen, Harald C. ; Hiep, Marijn A.J. ; van der Poel, Henk G. ; Wit, Esther M.K. ; Nieuwenhuijzen, Jakko A. ; Roeleveld, Ton A. ; Vis, André N. ; Donswijk, Maarten L. ; van Leeuwen, Pim J. ; Ruers, Theo J.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2022-790875996310953c1686b1de1f7d64b6d122e86ec15ead6fff47bf829969ca883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Electromagnetic tracking</topic><topic>Image-guided surgical navigation</topic><topic>Robot-assisted surgery</topic><topic>Sentinel lymph node biopsy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aguilera Saiz, Laura</creatorcontrib><creatorcontrib>Heerink, Wouter J.</creatorcontrib><creatorcontrib>Groen, Harald C.</creatorcontrib><creatorcontrib>Hiep, Marijn A.J.</creatorcontrib><creatorcontrib>van der Poel, Henk G.</creatorcontrib><creatorcontrib>Wit, Esther M.K.</creatorcontrib><creatorcontrib>Nieuwenhuijzen, Jakko A.</creatorcontrib><creatorcontrib>Roeleveld, Ton A.</creatorcontrib><creatorcontrib>Vis, André N.</creatorcontrib><creatorcontrib>Donswijk, Maarten L.</creatorcontrib><creatorcontrib>van Leeuwen, Pim J.</creatorcontrib><creatorcontrib>Ruers, Theo J.M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aguilera Saiz, Laura</au><au>Heerink, Wouter J.</au><au>Groen, Harald C.</au><au>Hiep, Marijn A.J.</au><au>van der Poel, Henk G.</au><au>Wit, Esther M.K.</au><au>Nieuwenhuijzen, Jakko A.</au><au>Roeleveld, Ton A.</au><au>Vis, André N.</au><au>Donswijk, Maarten L.</au><au>van Leeuwen, Pim J.</au><au>Ruers, Theo J.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of Image-guided Navigation with Electromagnetic Tracking During Robot-assisted Sentinel Node Biopsy: A Prospective Study</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2024-08-21</date><risdate>2024</risdate><issn>0302-2838</issn><issn>1873-7560</issn><eissn>1873-7560</eissn><abstract>Our study demonstrated that integration of navigation during robotic abdominopelvic surgeries is feasible. Navigation helped in effectively and safely reaching target sentinel nodes. Participating surgeons are willing to use this approach in future procedures and are confident it will improve decisiveness.
Image-guided surgical navigation (IGSN) can enhance surgical precision and safety. The expansion of minimally invasive surgery has increased the demand for integration of these navigation systems into robot-assisted surgery. Our objective was to evaluate the integration of electromagnetic tracking with IGSN in robot-assisted sentinel lymph node biopsy (SLNB).
We conducted a prospective feasibility study to test the use of IGSN in SLNB. In total, 25 patients scheduled for SLNB at The Netherlands Cancer Institute were included (March 2022 to March 2023). SLNB using IGSN was performed using a standardised technique with a da Vinci robot (Intuitive Surgical, Sunnyvale, CA, USA) in four-arm configuration. Feasibility was determined as the percentage of sentinel nodes (SNs) successfully identified via IGSN. Successful SN resection was defined as SNs correctly localised via navigation and validated ex vivo with a gamma probe. Surgeon feedback on the robot-assisted IGSN workflow was evaluated using the System Usability Scale (SUS).
In accordance with the protocol, the first five patients were used for workflow optimisation, and the subsequent 20 patients were included in the analysis. IGSN led to successful identification of 91% (50/55) of the SNs. There were no complications associated with navigation. The surgeon feedback (SUS) was 60.9, with lowest scores reported for the user interface and workflow integration.
IGSN during robot-assisted surgery was feasible and safe. The technique allowed identification and removal of predefined small pelvic lymph nodes.
We carried out a study on the feasibility of imaging-guided navigation in robot-assisted prostate surgery. Our results show that this technique is feasible, safe, and effective.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>39174413</pmid><doi>10.1016/j.eururo.2024.07.022</doi><oa>free_for_read</oa></addata></record> |
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| issn | 0302-2838 1873-7560 1873-7560 |
| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | Electromagnetic tracking Image-guided surgical navigation Robot-assisted surgery Sentinel lymph node biopsy |
| title | Feasibility of Image-guided Navigation with Electromagnetic Tracking During Robot-assisted Sentinel Node Biopsy: A Prospective Study |
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