scholarly journals Three-Dimensional Navigation (O-arm) for Minimally Invasive Shelf Acetabuloplasty

2020 ◽  
Vol 9 (8) ◽  
pp. e1067-e1071
Author(s):  
Mathieu Severyns ◽  
Quentin Andeol ◽  
Laure Flurin ◽  
Kerim Abdellatif ◽  
Antoine Cazor ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Three Dimensional ◽  
Shelf Acetabuloplasty

Accuracy of Patient-Specific 3D Printed Drill Guides in the Placement of a Canine Coxofemoral Toggle Pin through a Minimally Invasive Approach

2020 ◽  
Author(s):  
Brett G. Darrow ◽  
Kyle A. Snowdon ◽  
Adrien Hespel
Keyword(s):  
Minimally Invasive ◽  
Three Dimensional ◽  
Bone Tunnel ◽  
Patient Specific ◽  
Exit Point ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Post Procedure ◽  
Drill Guide ◽  
Ct Data

Abstract Objective The aim of this study was to evaluate the accuracy of patient-specific three-dimensional printed drill guides (3D-PDG) for the placement of a coxofemoral toggle via a minimally invasive approach. Materials and Methods Pre-procedure computed tomography (CT) data of 19 canine cadaveric hips were used to design a cadaver-specific 3D-PDG that conformed to the proximal femur. Femoral and acetabular bone tunnels were drilled through the 3D-PDG, and a coxofemoral toggle pin was placed. The accuracy of tunnel placement was evaluated with post-procedure CT and gross dissection. Results Coxofemoral toggle pins were successfully placed in all dogs. Mean exit point translation at the fovea capitis was 2.5 mm (0.2–7.5) when comparing pre- and post-procedure CT scans. Gross dissection revealed the bone tunnel exited the fovea capitis inside (3/19), partially inside (12/19) and outside of (4/19) the ligament of the head of the femur. Placement of the bone tunnel through the acetabulum was inside (16/19), partially inside (1/19) and outside (2/19) of the acetabular fossa. Small 1 to 2 mm articular cartilage fragments were noted in 10 of 19 specimens. Clinical Significance Three-dimensional printed drill guide designed for coxofemoral toggle pin application is feasible. Errors are attributed to surgical execution and identification of the borders of the fovea capitis on CT data. Future studies should investigate modifications to 3D-PDG design and methods. Three-dimensional printed drill guide for coxofemoral toggle pin placement warrants consideration for use in select clinical cases of traumatic coxofemoral luxation.

Bone-mounted Miniature Robotic Guidance for Pedicle Screw and Translaminar Facet Screw Placement: Part 2—Evaluation of System Accuracy

2007 ◽  
Vol 60 (suppl_2) ◽  
pp. ONS-129-ONS-139 ◽  
Author(s):  
Daisuke Togawa ◽  
Mark M. Kayanja ◽  
Mary K. Reinhardt ◽  
Moshe Shoham ◽  
Alin Balter ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Three Dimensional ◽  
Contralateral Side ◽  
X Rays ◽  
Average Deviation ◽  
Computed Tomographic ◽  
Entry Points ◽  
External Frame ◽  
K Wires ◽  
Preoperative Plan

Abstract Objective: To evaluate the accuracy of a novel bone-mounted miniature robotic system for percutaneous placement of pedicle and translaminar facet screws. Methods: Thirty-five spinal levels in 10 cadavers were instrumented. Each cadaver's entire torso was scanned before the procedure. Surgeons planned optimal entry points and trajectories for screws on reconstructed three-dimensional virtual x-rays of each vertebra. Either a clamp or a minimally invasive external frame was attached to the bony anatomy. Anteroposterior and lateral fluoroscopic images using targeting devices were obtained and automatically registered with the virtual x-rays of each vertebra generated from the computed tomographic scan obtained before the procedure. A miniature robot was mounted onto the clamp and external frame and the system controlled the robot's motions to align the cannulated drill guide along the planned trajectory. A drill bit was introduced through the cannulated guide and a hole was drilled through the cortex. Then, K-wires were introduced and advanced through the same cannulated guide and left inside the cadaver. The cadavers were scanned with computed tomography after the procedure and the system's accuracy was evaluated in three planes, comparing K-wire positions with the preoperative plan. A total of fifty-five procedures were evaluated. Results: Twenty-nine of 32 K-wires and all four screws were placed with less than 1.5 mm of deviation; average deviation was 0.87 ± 0.63 mm (range, 0-1.7 mm) from the preoperative plan in this group. Sixteen of 19 K-wires were placed with less than 1.5 mm of deviation. There was one broken and one bent K-wire. Another K-wire was misplaced because of collision with the previously placed wire on the contralateral side of the same vertebra because of a mistake in planning, resulting in a 6.5-mm deviation. When this case was excluded, average deviation was 0.82 ± 0.65 mm (range, 0-1.5 mm). Conclusion: These results verify the system's accuracy and support its use for minimally invasive spine surgery in selected patients.

scholarly journals 3D Laparoscopic Monitors

2014 ◽  
Vol 5 ◽  
pp. MEI.S13342
Author(s):  
Francesca Destro ◽  
Noemi Cantone ◽  
Mario Lima
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Three Dimensional ◽  
Short Paper ◽  
High Definition ◽  
Recent Introduction ◽  
Technological Advances ◽  
New Surgery

Minimally invasive surgery (MIS) is a relatively new surgery comprising various procedures performed with special miniaturized instruments and imaging reproduction systems. Technological advances have made MIS an efficient, safe, and applicable tool for pediatric surgeons with unquestionable advantages. The recent introduction of three-dimensional (3D) high definition systems has been advocated in order to overcome some of the problems related to standard MIS visual limitations. This short paper recapitulates the necessity to minimize MIS visualization limitations and reports the characteristics of new laparoscopic 3D systems.

6-DOF Haptic Interface for Neurosurgical Simulation System

1999 ◽  
Author(s):  
Takeo Asano ◽  
Hiroshi Matsuzaki ◽  
Akito Saito ◽  
Yukihiko Furuhashi ◽  
Yuichiro Akatsuka ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Three Dimensional ◽  
Image Data ◽  
Simulation System ◽  
Haptic Interface ◽  
Virtual Object ◽  
Virtual Surgery ◽  
Surface Rendering ◽  
Three Dimensional Model ◽  
Head Surface

Abstract Practical use of medical simulation system with virtual reality technology is expected because of the learning of the operation procedure. We have therefore developed a neurosurgical simulation system for minimally invasive surgery. Our system is composed of PC and one or two haptic interfaces. Operator can pick up the region of interest to specify the disease portion from DICOM format image data, then three-dimensional model have made by volume and surface rendering with this data. In the next step, system estimates and indicates on CRT the minimally invasive path from the head surface to the disease target that was picked up beforehand by this system which retains healthy human’s three-dimensional atlas data. Finally, the operator can perform a virtual surgery operation by the haptic interface that has been connected to PC, and can cut off an exact or approximate portion of the disease. The operator can feel the resistance from this virtual object. This operation process can be recorded for medical doctors to review later.

Biomedical Robotics for Healthcare

2012 ◽  
pp. 200-205
Author(s):  
Kenoki Ohuchida ◽  
Makoto Hashizume
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Invasive Surgery ◽  
Three Dimensional ◽  
Body Cavity ◽  
Endoscopic Procedures ◽  
Biomedical Robotics ◽  
Hospital Stays ◽  
Conventional Open Surgery

Recently, a robotic system was developed in the biomedical field to support minimally invasive surgery. The popularity of minimally invasive surgery has surged rapidly because of endoscopic procedures. In endoscopic surgery, surgical procedures are performed within a body cavity and visualized with laparoscopy or thoracoscopy. Since the initial laparoscopic cholecystectomy was performed in 1987, the implications for endoscopic procedures have continuously expanded, and endoscopic surgery is currently the standard for an increasing number of operations. Advances in laparoscopic surgery have led to less postoperative pain, shorter hospital stays, and an earlier return to work for many patients. However, performing laparoscopic procedures requires several skills that have never been required for conventional open surgery. The surgeon needs to coordinate his/her eyes and hands and acquire a skillful manner using long-shaft instruments as well as mentally interpret a two-dimensional environment as a three-dimensional one. Because learning such skills is stressful for most surgeons, performing a laparoscopic procedure is more physically and mentally demanding than performing an open procedure.

Robotic-Assisted Retroperitoneoscopic Adrenalectomy: Making a Good Procedure Even Better

2013 ◽  
Vol 79 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Paxton V. Dickson ◽  
Gillian C. Alex ◽  
Elizabeth G. Grubbs ◽  
Camilo Jimenez ◽  
Jeffrey E. Lee ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Perioperative Complications ◽  
Three Dimensional ◽  
Invasive Procedure ◽  
Robotic Assisted ◽  
Surgical Technology ◽  
Laparoscopic Operation ◽  
Retroperitoneoscopic Adrenalectomy ◽  
Postoperative Blood Transfusion ◽  
Minimally Invasive Adrenalectomy

Posterior retroperitoneoscopic adrenalectomy (PRA) is a minimally invasive procedure offering several advantages over a transabdominal laparoscopic operation. The three-dimensional optics and articulating instrumentation offered by current robotic surgical technology potentially improve this procedure. Robotic-assisted PRA (RA-PRA) was performed in patients meeting standard criteria for minimally invasive adrenalectomy. We prospectively collected demographic, clinical, perioperative, and pathologic data on patients undergoing RA-PRA. Thirty consecutive RA-PRAs were performed in 28 patients (26 unilateral and 2 bilateral). Indications for adrenalectomy included pheochromocytoma (8), hyperaldosteronism (3), hypercortisolism (8), oligometastases (5), and nonfunctional tumors (6). Mean tumor size was 3.8 ± 1.6 cm. Mean body mass index was 30.7 ± 6.5 kg/m2. Mean operative time was 154 ± 43 minutes for unilateral total adrenalectomy. Four patients with multiple endocrine neoplasia Type 2A-associated pheochromocytomas underwent cortical-preserving procedures. Three patients experienced perioperative complications (one pneumothorax, one urinary retention, one required postoperative blood transfusion). No patient required conversion to an open procedure. Robotic surgical technology is an excellent complement to retroperitoneoscopic adrenalectomy. The three-dimensional view and ergonomic advantages of a robotic procedure promote better visualization and a more flexible approach to dissection. We believe these features may optimize the ability to maintain a vascularized remnant during minimally invasive cortical-sparing adrenalectomy.

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