This study was performed to investigate the potential of intraoperative three-dimensional (3D) holographic cholangiography, which provides a computer graphics model of the biliary tract, with mixed reality techniques.
Two patients with intraductal papillary neoplasm of the bile duct were enrolled in the study. Intraoperative 3D cholangiography was performed in a hybrid operating room. Three-dimensional polygon data using the acquired cholangiography data were installed into a head mount display (HoloLens; Microsoft Corporation, Redmond, WA, USA).
Upon completion of intraoperative 3D cholangiography, a hologram was immediately and successfully made in the operating room using the acquired cholangiography data, and several surgeons wearing the HoloLens succeeded in sharing the same hologram. Compared with usual two-dimensional cholangiography, this 3D holographic cholangiography technique contributed to more accurate reappearance of the bile ducts, especially the B1 origination site, and moving the hologram from the respective operators’ angles by means of easy gesture-handling without any monitors.
Intraoperative 3D holographic cholangiography might be a new next-generation operation-support tool in terms of immediacy, accurate anatomical reappearance, and ease of handling.
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The current datasets are deposited in publicly available repositories (where available and appropriate).
Cone beam computed tomography
Head mount displays
Magnetic resonance cholangiopancreatography
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The content of this research was broadcast on “JOUNETSU—TAIRIKU”, Japanese TV program, Tokyo Broadcasting System Television, Inc.
The authors declare no competing interests.
The study was approved by Tokushima University Hospital ethics committee and with the approval of corresponding regulatory agencies, and all the experiments were carried out in accordance with the approved guidelines (Tokushima Clinical Trial Management System Number; 3294). Meanwhile, all the patients involved in the study signed the informed consent form and agreed to participate.
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Saito, Y., Sugimoto, M., Morine, Y. et al. Intraoperative support with three-dimensional holographic cholangiography in hepatobiliary surgery. Langenbecks Arch Surg 407, 1285–1289 (2022). https://doi.org/10.1007/s00423-021-02336-0