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Image-guided surgery of liver metastases by three-dimensional ultrasound-based optoelectronic navigation

Item Type:Article
Title:Image-guided surgery of liver metastases by three-dimensional ultrasound-based optoelectronic navigation
Creators Name:Beller, S. and Huenerbein, M. and Lange, T. and Eulenstein, S. and Gebauer, B. and Schlag, P.M.
Abstract:BACKGROUND: Vessel-oriented surgery and tumour-free resection margins are essential for resection of liver metastases to preserve liver parenchyma and improve oncological outcome. Preoperative three-dimensional models reconstructed from imaging data could facilitate surgical planning with the use of navigation technology. METHODS: Thirty-three patients with central and/or impalpable liver metastases were scheduled for navigated hepatic resection. Intraoperative three-dimensional ultrasonography and an infrared-based optical tracking system were used for data registration and image-guided surgery. Postoperative three-dimensional data were compared with the preoperative virtual surgical plan to assess the accuracy of navigation, and clinical results were compared with those of a matched control group of 32 patients. RESULTS: Navigation was successful in 32 of 33 patients. Realization of the preoperative plan and R0 resection was achieved in 30 of these 32 patients. The median discrepancy between the planned and actual vascular dissection level was 6 (range 0-11) mm. There was a reduced rate of R1 resection in the navigated group compared with the control group (two versus four patients), and more parenchyma was preserved. CONCLUSION:: Three-dimensional ultrasound-based optoelectronic navigation technology improves intraoperative orientation and enables parenchyma-preserving surgery with high precision.
Keywords:Case-Control Studies, Equipment Design, Computer-Assisted Image Processing, Three-Dimensional Imaging, Intraoperative Care, Liver Neoplasms, Magnetic Resonance Imaging, Preoperative Care, Computer-Assisted Surgery, X-Ray Computed Tomography
Source:British Journal of Surgery
ISSN:0007-1323
Publisher:Wiley (U.K.)
Volume:94
Number:7
Page Range:866-875
Date:July 2007
Official Publication:https://doi.org/10.1002/bjs.5712
PubMed:View item in PubMed

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