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A Novel Mixed Reality Navigation System for Laparoscopy Surgery

  • Jagadeesan JayenderEmail author
  • Brian Xavier
  • Franklin King
  • Ahmed Hosny
  • David Black
  • Steve Pieper
  • Ali Tavakkoli
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 11073)

Abstract

OBJECTIVE: To design and validate a novel mixed reality head-mounted display for intraoperative surgical navigation. DESIGN: A mixed reality navigation for laparoscopic surgery (MRNLS) system using a head mounted display (HMD) was developed to integrate the displays from a laparoscope, navigation system, and diagnostic imaging to provide context-specific information to the surgeon. Further, an immersive auditory feedback was also provided to the user. Sixteen surgeons were recruited to quantify the differential improvement in performance based on the mode of guidance provided to the user (laparoscopic navigation with CT guidance (LN-CT) versus mixed reality navigation for laparoscopic surgery (MRNLS)). The users performed three tasks: (1) standard peg transfer, (2) radiolabeled peg identification and transfer, and (3) radiolabeled peg identification and transfer through sensitive wire structures. RESULTS: For the more complex task of peg identification and transfer, significant improvements were observed in time to completion, kinematics such as mean velocity, and task load index subscales of mental demand and effort when using the MRNLS (p < 0.05) compared to the current standard of LN-CT. For the final task of peg identification and transfer through sensitive structures, time taken to complete the task and frustration were significantly lower for MRNLS compared to the LN-CT approach. CONCLUSIONS: A novel mixed reality navigation for laparoscopic surgery (MRNLS) has been designed and validated. The ergonomics of laparoscopic procedures could be improved while minimizing the necessity of additional monitors in the operating room.

Keywords

Mixed-reality Surgical navigation Laparoscopy surgery Audio navigation Visual navigation Ergonomics 

References

  1. 1.
    Patkin, M., Isabel, L.: Ergonomics, engineering and surgery of endosurgical dissection. J. R. Coll. Surg. Edinb. 40(2), 120–132 (1995)Google Scholar
  2. 2.
    Kant, I.J., et al.: A survey of static and dynamic work postures of operating room staff. Int. Arch. Occup. Environ. Health 63(6), 423–428 (1992)CrossRefGoogle Scholar
  3. 3.
    Keehner, M.M., et al.: Spatial ability, experience, and skill in laparoscopic surgery. Am. J. Surg. 188(1), 71–75 (2004)CrossRefGoogle Scholar
  4. 4.
    Fuchs, H., et al.: Augmented reality visualization for laparoscopic surgery. In: Wells, W.M., Colchester, A., Delp, S. (eds.) MICCAI 1998. LNCS, vol. 1496, pp. 934–943. Springer, Heidelberg (1998).  https://doi.org/10.1007/BFb0056282CrossRefGoogle Scholar
  5. 5.
    Mountney, P., Fallert, J., Nicolau, S., Soler, L., Mewes, Philip W.: An augmented reality framework for soft tissue surgery. In: Golland, P., Hata, N., Barillot, C., Hornegger, J., Howe, R. (eds.) MICCAI 2014. LNCS, vol. 8673, pp. 423–431. Springer, Cham (2014).  https://doi.org/10.1007/978-3-319-10404-1_53CrossRefGoogle Scholar
  6. 6.
    Shuhaiber, J.H.: Augmented reality in surgery. Arch. Surg. 139(2), 170–174 (2004)CrossRefGoogle Scholar
  7. 7.
    Dixon, B.J., et al.: Surgeons blinded by enhanced navigation: the effect of augmented reality on attention. Surg. Endosc. 27(2), 454–461 (2013)CrossRefGoogle Scholar
  8. 8.
    Erfanian, K., et al.: In-line image projection accelerates task performance in laparoscopic appendectomy. J. Pediatr. Surg. 38(7), 1059–1062 (2003)CrossRefGoogle Scholar
  9. 9.
    Park, A., Lee, G., et al.: Patients benefit while surgeons suffer: an impending epidemic. J. Am. Coll. Surg. 210(3), 306–313 (2010)CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Jagadeesan Jayender
    • 1
    • 2
    Email author
  • Brian Xavier
    • 3
  • Franklin King
    • 1
  • Ahmed Hosny
    • 3
  • David Black
    • 4
  • Steve Pieper
    • 5
  • Ali Tavakkoli
    • 1
    • 2
  1. 1.Brigham and Women’s HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA
  3. 3.Boston Medical SchoolBostonUSA
  4. 4.Fraunhofer MEVISBremenGermany
  5. 5.Isomics, Inc.BostonUSA

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