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Intraoperative support with three-dimensional holographic cholangiography in hepatobiliary surgery

Abstract

Purpose

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.

Methods

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).

Results

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.

Conclusion

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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Data availability

The current datasets are deposited in publicly available repositories (where available and appropriate).

Code availability

Not applicable.

Abbreviations

CG:

Computer graphics

MR:

Mixed reality

IOC:

Intraoperative cholangiography

ICG:

Indocyanine green

CBCT:

Cone beam computed tomography

HMDs:

Head mount displays

OST:

Optical see-through

MRCP:

Magnetic resonance cholangiopancreatography

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Acknowledgements

The content of this research was broadcast on “JOUNETSU—TAIRIKU”, Japanese TV program, Tokyo Broadcasting System Television, Inc.

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Authors and Affiliations

Authors

Contributions

Yu Saito MD, PhD, FACS, participated in the research design, performance of the research, data analysis, and writing of manuscripts. Maki Sugimoto MD, PhD, participated in the research design and performance of the research. Yuji Morine MD, PhD, FACS, participated in the performance of the research. Satoru Imura MD, PhD, FACS, participated in the performance of the research. Tetsuya Ikemoto MD, PhD, FACS, participated in the performance of the research. Shinichiro Yamada MD, PhD, FACS, participated in the performance of the research. Mitsuo Shimada MD, PhD, FACS, participated in the critical comments and administrative support.

Corresponding author

Correspondence to Yu Saito.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethics approval

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.

Consent to participate

All patients consented to participate.

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Not applicable.

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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

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  • DOI: https://doi.org/10.1007/s00423-021-02336-0

Keywords

  • Holographic cholangiography
  • Mixed reality
  • Intraoperative support