First experience of applying the technology of added reality on the basis of 3D simulation for intraoperative navigation during laparoscopic renal resection

V.N. Dubrovin, A.V. Egoshin, Ya.A. Furman, A.A. Rozhentsov, R.I. Eruslanov
Keywords: Virtual simulation, augmented reality, laparoscopic partial nephrectomy
Medicinskij al'manah, 2015, issue 2, pages 45-47.

Modern computer technologies allow to create 3D models of the body and use them to virtual planning.

We present the method of intraoperative navigation based on virtual simulation during videoendoscopic

partial nephrectomy for kidney’s tumors. Special computer program has been developed, that created

three-dimensional image of operative space on the basis of preoperational tomographic data of a concrete

patient. The complex allowing to form virtual 3D model of a patient according to the results of

tomography examination. The original method of matching the system of coordinates of a virtual model

with the patient was offered by augmented reality technology. The method was originally performed for

the 7 patients, their average age was 47,5 (38–54) years, men – 3 (42,9%), women – 4 (57,1%) with size

of the tumors 3,0 (2,0–4,0) cm. Average time of an operation performed with the use of the computerized

choice of the surgical approach was 110,5 (80–155) minutes. Warm ischemia time was 14,5 (12–18 min).

There were no complications during the operation and in the post-operative period. This method is particularly

perspective for teaching beginner surgeons, it can help them acquire skills in minimally invasive

surgery.

1. Alaev U.G., Ahvlediani N.D., Phiev D.N., Petrovscii N.V. Vosmognosti

metodov visualisatcii v diagnostike i monitoringe opuholi pochki.

Experimentalnaia I klinichescaia urologia. 2011. № 2. C. 96-98.

2.Atduev V.A., Ovchinnikov V.A. Hirurgia opuholey parenhimi pochki. M.:

Medichinskaia kniga, 2004. 191 с.

3. Gill I.S. Patil M.B., Abreu A.L. et al. Zero ischemia anatomical partial

nephrectomy: A novel approach. J Urol. 2012. № 187. Р. 807-814.

4. Glibochko P.V., Alaev U.G., Dseranov N.K. i dr. Virtualnoe planirovanie

organcochraniausih operachii pri opuholi pochki. Medichinscii vtstnic

Bashkortostana. 2013. T. 8. № 2. C. 256-260.

5. Emilinov C.I., Veredchenko V.A., Pushkar D.U. i dr. Primenenie metoda

intraoperachionnoi navigachii pri laparoscopichescoi nephrectomii.

Endoscopichescaia hirurgia. 2009. № 2. C. 63-68.

6. Ukimura O., Gill I.S. Imaging-assisted endoscopic surgery: Cleveland Clinic

experience. J Endourology. 2008. № 22. Р. 803-810.

7. Rassweiler J., Baumhauer M., Weickert U. et al. The role of imaging and

navigation for natural orifice translumanal endoscopic surgery Journal of

endourology. 2009. V. 23. № 5. P. 793-800.

8. Nakamoto M., Ukimura O., Faber K., Gill I.S. Current progress on augmented

reality visualization in endoscopic surgery. Curr Opin Urol. 2012. № 22. Р. 121-126.

V.N. Dubrovin, A.V. Egoshin, Ya.A. Furman, A.A. Rozhentsov, R.I. Eruslanov First experience of applying the technology of added reality on the basis of 3D simulation for intraoperative navigation during laparoscopic renal resection. Medicinskij al'manah 2015; (2): 45–47