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Augmented reality for image guidance in transoral robotic surgery

  • Jason Y. K. ChanEmail author
  • F. Christopher Holsinger
  • Stanley Liu
  • Jonathan M. Sorger
  • Mahdi Azizian
  • Raymond K. Y. TsangEmail author
Original Article

Abstract

With the advent of precision surgery, there have been attempts to integrate imaging with robotic systems to guide sound oncologic surgical resections while preserving critical structures. In the confined space of transoral robotic surgery (TORS), this offers great potential given the proximity of structures. In this cadaveric experiment, we describe the use of a 3D virtual model displayed in the surgeon’s console with the surgical field in view, to facilitate image-guided surgery at the oropharynx where there is significant soft tissue deformation. We also utilized the 3D model that was registered to the maxillary dentition, allowing for real-time image overlay of the internal carotid artery system. This allowed for real-time visualization of the internal carotid artery system that was qualitatively accurate on cadaveric dissection. Overall, this shows that virtual models and image overlays can be useful in image-guided surgery while approaching different sites in head and neck surgery with TORS.

Keywords

Augmented reality Transoral robotic surgery Oropharynx HPV Image guidance 

Notes

Acknowledgements

JYKC received funding support by the Dr. Stanley Ho Medical Foundation and the General Research Fund (#14109716; #14108818 General Research Fund, Research Grant Council, Hong Kong government, Hong Kong SAR).

Compliance with ethical standards

Conflict of interest

Jason Y. K. Chan received travel support from Intuitive Surgical Inc. Raymond K. Y. Tsang received travel support from Intuitive Surgical Inc. Jonathan M. Sorger is an employee of Intuitive Surgical Inc. Mahdi Azizian is an employee of Intuitive Surgical Inc. F. Christopher Holsinger and Stanley Liu have no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 54084 kb)

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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Head and Neck SurgeryThe Chinese University of Hong KongShatin, N.T.Hong Kong SAR
  2. 2.Department of Otolaryngology, Head and Neck SurgeryStanford UniversityPalo AltoUSA
  3. 3.Intuitive Surgical Inc.SunnyvaleUSA
  4. 4.Division of Otorhinolaryngology-Head and Neck Surgery, Department of SurgeryThe University of Hong KongPok Fu LamHong Kong SAR

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