Virtual Reality-Based Preoperative Planning for Optimized Trocar Placement in Thoracic Surgery: A Preliminary Study

Fuente: arXiv
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Autori principali: Harirpoush, Arash, Rakovich, George, Kersten-Oertel, Marta, Xiao, Yiming
Natura: Preprint
Pubblicazione: 2024
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author Harirpoush, Arash
Rakovich, George
Kersten-Oertel, Marta
Xiao, Yiming
author_facet Harirpoush, Arash
Rakovich, George
Kersten-Oertel, Marta
Xiao, Yiming
contents Video-assisted thoracic surgery (VATS) is a minimally invasive approach for treating early-stage non-small-cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. While established principles such as the Baseball Diamond Principle (BDP) and Triangle Target Principle (TTP) exist, surgeons mainly rely on experience and patient-specific anatomy for trocar placement, potentially leading to sub-optimal surgical plans that increase operative time and fatigue. To address this, we present the first virtual reality (VR)-based pre-operative planning tool with tailored data visualization and interaction designs for efficient and optimal VATS trocar placement, following the established surgical principles and consultation with an experienced surgeon. In our preliminary study, we demonstrate the system's application in right upper lung lobectomy, a common thoracic procedure typically using three trocars. A preliminary user study of our system indicates it is efficient, robust, and user-friendly for planning optimal trocar placement, with a great promise for clinical application while offering potentially valuable insights for the development of other surgical VR systems.
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id arxiv_https___arxiv_org_abs_2409_04414
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Virtual Reality-Based Preoperative Planning for Optimized Trocar Placement in Thoracic Surgery: A Preliminary Study
Harirpoush, Arash
Rakovich, George
Kersten-Oertel, Marta
Xiao, Yiming
Human-Computer Interaction
Video-assisted thoracic surgery (VATS) is a minimally invasive approach for treating early-stage non-small-cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. While established principles such as the Baseball Diamond Principle (BDP) and Triangle Target Principle (TTP) exist, surgeons mainly rely on experience and patient-specific anatomy for trocar placement, potentially leading to sub-optimal surgical plans that increase operative time and fatigue. To address this, we present the first virtual reality (VR)-based pre-operative planning tool with tailored data visualization and interaction designs for efficient and optimal VATS trocar placement, following the established surgical principles and consultation with an experienced surgeon. In our preliminary study, we demonstrate the system's application in right upper lung lobectomy, a common thoracic procedure typically using three trocars. A preliminary user study of our system indicates it is efficient, robust, and user-friendly for planning optimal trocar placement, with a great promise for clinical application while offering potentially valuable insights for the development of other surgical VR systems.
title Virtual Reality-Based Preoperative Planning for Optimized Trocar Placement in Thoracic Surgery: A Preliminary Study
topic Human-Computer Interaction
url https://arxiv.org/abs/2409.04414