Augmented Reality in Laparoscopic and Robotic Surgery – Not Only a Matter of Fashion

Francesco Volonte, MD, François Pugin, MD, Nicolas Buchs, MD, Pascal Bucher, MD, Maki Sugimoto, MD, Osman Ratib, Prof, Philippe Morel, Prof. 1 Visceral and Transplantation Surgery, University Hospitals of Geneva, Switzerland 2 Department of Gastroenterology, Kobe University Graduate School of Medicine, Kobe, Japan 3 Department of Nuclear Medicine, University Hospitals of Geneva, Switzerland

BackgroundNew technologies can considerably improve preoperative planning, enhance surgeon’s skill and simplify complex procedures approach. Augmented reality techniques, robot assisted operations and computer assisted navigation tools will become increasingly important in surgery and in resident’s education.MethodsWe obtained 3D reconstructions from simple spiral computed tomography (CT) slides using OsiriX, an open source processing software dedicated to DICOM images. These images were then projected on the patient body with a beamer fixed to the operating table to enhance spatial perception during surgical interventions (augmented reality).ResultsChanging windows deepness level allowed the surgeon to navigate through the patient anatomy, highlighting regions of interest and marked pathologies. We used image overlay navigation for laparoscopic operations such cholecystectomy, abdominal exploration, distal pancreas resection and robotic liver resection.ConclusionsAugmented reality techniques will transform the behaviour of surgeons, making surgical interventions easier, faster and probably safer. These new techniques will also renew the way of surgical teaching facilitating transmission of knowledge and skill to young surgeons.

Session: Emerging Technology Poster
Program Number: ETP096
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